Jiri Mekyska

Jiri Mekyska

Brno, Jihomoravský, Česko
2 tis. sledujících uživatelů Více než 500 spojení

Pár slov o mně

I am a principal scientist and head of the BDALab (Brain Diseases Analysis Laboratory)…

Články od Jiri

Aktivita

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Pracovní zkušenosti

  • Explicitní: Brno University of Technology

    Brno University of Technology

    District Brno-City, Czech Republic

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    Research, Development and Innovation Council of the Government of the CR

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    Brno, South Moravia, Czechia

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    Czech Science Foundation, Prague, Czech Republic

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    Czech Science Foundation, Prague, Czech Republic

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    Brno, South Moravia, Czechia

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    INRIA Bordeaux Sud-Ouest, Bordeaux, France

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    Escuela Superior Politécnica del TecnoCampus, Mataró, Spain

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    Brno, Czech Republic

Vzdělání

  • Explicitní: Vysoké učení technické v Brně

    Brno University of Technology

    - acoustic analysis of hypokinetic dysarthria in patients with Parkinson's disease
    - design of digital biomarkers and digital endpoints
    - quantitative analysis of dysgraphia (employing online handwriting processing)
    - speech signal processing, time series analysis
    - machine learning and statistical analysis

  • - speech signal processing in biometric systems

Publikace

  • Computational approaches to Explainable Artificial Intelligence: Advances in theory, applications and trends

    Information Fusion

    Deep Learning (DL), a groundbreaking branch of Machine Learning (ML), has emerged as a driving force in both theoretical and applied Artificial Intelligence (AI). DL algorithms, rooted in complex and non-linear artificial neural systems, excel at extracting high-level features from data. DL has demonstrated human-level performance in real-world tasks, including clinical diagnostics, and has unlocked solutions to previously intractable problems in virtual agent design, robotics, genomics…

    Deep Learning (DL), a groundbreaking branch of Machine Learning (ML), has emerged as a driving force in both theoretical and applied Artificial Intelligence (AI). DL algorithms, rooted in complex and non-linear artificial neural systems, excel at extracting high-level features from data. DL has demonstrated human-level performance in real-world tasks, including clinical diagnostics, and has unlocked solutions to previously intractable problems in virtual agent design, robotics, genomics, neuroimaging, computer vision, and industrial automation. In this paper, the most relevant advances from the last few years in Artificial Intelligence (AI) and several applications to neuroscience, neuroimaging, computer vision, and robotics are presented, reviewed and discussed. In this way, we summarize the state-of-the-art in AI methods, models and applications within a collection of works presented at the 9th International Conference on the Interplay between Natural and Artificial Computation (IWINAC). The works presented in this paper are excellent examples of new scientific discoveries made in laboratories that have successfully transitioned to real-life applications.

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  • Research on Passive Assessment of Parkinson’s Disease Utilising Speech Biomarkers

    International Conference on Pervasive Computing Technologies for Healthcare

    Speech disorders, collectively referred to as hypokinetic dysarthria (HD), are early biomarkers of Parkinson’s disease (PD). To assess all dimensions of HD, patients could perform several speech tasks using a smartphone outside a clinic. This paper aims to adapt the parametrization process to running speech so that a patient is not required to interact actively with the device, and features can be extracted directly from phone calls. The method utilizes a voice activity detector followed by a…

    Speech disorders, collectively referred to as hypokinetic dysarthria (HD), are early biomarkers of Parkinson’s disease (PD). To assess all dimensions of HD, patients could perform several speech tasks using a smartphone outside a clinic. This paper aims to adapt the parametrization process to running speech so that a patient is not required to interact actively with the device, and features can be extracted directly from phone calls. The method utilizes a voice activity detector followed by a voicing detection. The algorithm was tested on a database of 126 recordings (86 patients with PD and 40 healthy controls) of monologue mixed with noise with different signal-to-noise ratios (SNR) to simulate the real environment conditions. Pearson correlation coefficients show a strong linear relationship between speech features and patients’ scores assessing HD and other motor/non-motor symptoms – p-value < 0.01 for the normalized amplitude quotient (NAQ) with Test 3F Dysarthric Profile (DX index) and Unified Parkinson’s Disease Rating Scale (part III) in 20 dB SNR conditions, p-value < 0.01 for the jitter and shimmer with the Mini Mental State Exam (10 dB SNR). A model based on the Extreme Gradient Boosting algorithm predicts the DX index with a 10.83% estimated error rate (EER) and the Addenbrooke’s Cognitive Examination-Revise (ACE-R) score with 13.38% EER. The introduced algorithm can potentially be used in mHealth applications for passive monitoring and assessment of PD patients.

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  • A Pilot Study on the Functional Stability of Phonation in EEG Bands After Repetitive Transcranial Magnetic Stimulation in Parkinson’s Disease

    International Journal of Neural Systems

    Parkinson’s disease (PD) is a neurodegenerative condition with constantly increasing prevalence rates, affecting strongly life quality in terms of neuromotor and cognitive performance. PD symptoms include voice and speech alterations, known as hypokinetic dysarthria (HD). Unstable phonation is one of the manifestations of HD. Repetitive transcranial magnetic stimulation (rTMS) is a rehabilitative treatment thathas been shown to improve some motor and non-motor symptoms of persons with PD (PwP).…

    Parkinson’s disease (PD) is a neurodegenerative condition with constantly increasing prevalence rates, affecting strongly life quality in terms of neuromotor and cognitive performance. PD symptoms include voice and speech alterations, known as hypokinetic dysarthria (HD). Unstable phonation is one of the manifestations of HD. Repetitive transcranial magnetic stimulation (rTMS) is a rehabilitative treatment thathas been shown to improve some motor and non-motor symptoms of persons with PD (PwP). This study analyzed the phonation functional behavior of 18 participants (13 males, 5 females) with PD diagnosis before (one pre-stimulus) and after (four post-stimulus) evaluation sessions of rTMS treatment, to assess the extent of changes in their phonation stability. Participants were randomized 1:1 to receive either rTMS or sham stimulation. Voice recordings of a sustained vowel [a:] taken immediately before and after the treatment, and at follow-up evaluation sessions (immediately after, at six, ten, and fourteen weeks after the baseline assessment) were processed by inverse filtering to estimate a biomechanical correlate of vocal fold tension. This estimate was further band-pass filtered into EEG-related frequency bands. Log-likelihood ratios (LLRs) between pre- and post-stimulus amplitude distributions of each frequency band showed significant differences in five cases actively stimulated. Seven cases submitted to the sham protocol did not show relevant improvements in phonation instability. Conversely, four active cases did not show phonation improvements, whereas two sham cases did. The study provides early preliminary insights into the capability of phonation quality assessment by monitoring neuromechanical activity from acoustic signals in frequency bands aligned with EEG ones.

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  • Analysis of Gender Differences in Online Handwriting Signals for Enhancing e-Health and e-Security Applications

    Cognitive Computation

    Handwriting is a complex perceptual–motor skill that is mastered around the age of 8. Although its computerized analysis has been utilized in many biometric and digital health applications, the possible effect of gender is frequently neglected. The aim of this paper is to analyze different online handwritten tasks performed by intact subjects and explore gender differences in commonly used temporal, kinematic, and dynamic features. The differences were explored in the BIOSECUR-ID database. We…

    Handwriting is a complex perceptual–motor skill that is mastered around the age of 8. Although its computerized analysis has been utilized in many biometric and digital health applications, the possible effect of gender is frequently neglected. The aim of this paper is to analyze different online handwritten tasks performed by intact subjects and explore gender differences in commonly used temporal, kinematic, and dynamic features. The differences were explored in the BIOSECUR-ID database. We have identified a significant gender difference in on-surface/in-air time of genuine and skilled forgery signatures, on-surface time in cursive letters and numbers, and pressure, speed, and acceleration in text written in capital letters. Our findings accent the need to consider gender as an important confounding factor in studies dealing with online handwriting signal processing.

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  • Exploration of Various Fractional Order Derivatives in Parkinson’s Disease Dysgraphia Analysis

    International Graphonomics Conference

    Parkinson’s disease (PD) is a common neurodegenerative disorder with a prevalence rate estimated to 2.0% for people aged over 65 years. Cardinal motor symptoms of PD such as rigidity and bradykinesia affect the muscles involved in the handwriting process resulting in handwriting abnormalities called PD dysgraphia. Nowadays, online handwritten signal (signal with temporal information) acquired by the digitizing tablets is the most advanced approach of graphomotor difficulties analysis. Although…

    Parkinson’s disease (PD) is a common neurodegenerative disorder with a prevalence rate estimated to 2.0% for people aged over 65 years. Cardinal motor symptoms of PD such as rigidity and bradykinesia affect the muscles involved in the handwriting process resulting in handwriting abnormalities called PD dysgraphia. Nowadays, online handwritten signal (signal with temporal information) acquired by the digitizing tablets is the most advanced approach of graphomotor difficulties analysis. Although the basic kinematic features were proved to effectively quantify the symptoms of PD dysgraphia, a recent research identified that the theory of fractional calculus can be used to improve the graphomotor difficulties analysis. Therefore, in this study, we follow up on our previous research, and we aim to explore the utilization of various approaches of fractional order derivative (FD) in the analysis of PD dysgraphia. For this purpose, we used the repetitive loops task from the Parkinson’s disease handwriting database (PaHaW). Handwritten signals were parametrized by the kinematic features employing three FD approximations: Grünwald-Letnikov’s, Riemann-Liouville’s, and Caputo’s. Results of the correlation analysis revealed a significant relationship between the clinical state and the handwriting features based on the velocity. The extracted features by Caputo’s FD approximation outperformed the rest of the analyzed FD approaches. This was also confirmed by the results of the classification analysis, where the best model trained by Caputo’s handwriting features resulted in a balanced accuracy of 79.73% with a sensitivity of 83.78%
    and a specificity of 75.68%
    .

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  • Prodromal Diagnosis of Lewy Body Diseases Based on the Assessment of Graphomotor and Handwriting Difficulties

    International Graphonomics Conference

    To this date, studies focusing on the prodromal diagnosis of Lewy body diseases (LBDs) based on quantitative analysis of graphomotor and handwriting difficulties are missing. In this work, we enrolled 18 subjects diagnosed with possible or probable mild cognitive impairment with Lewy bodies (MCI-LB), 7 subjects having more than 50% probability of developing Parkinson’s disease (PD), 21 subjects with both possible/probable MCI-LB and probability of PD > 50%, and 37 age- and gender-matched…

    To this date, studies focusing on the prodromal diagnosis of Lewy body diseases (LBDs) based on quantitative analysis of graphomotor and handwriting difficulties are missing. In this work, we enrolled 18 subjects diagnosed with possible or probable mild cognitive impairment with Lewy bodies (MCI-LB), 7 subjects having more than 50% probability of developing Parkinson’s disease (PD), 21 subjects with both possible/probable MCI-LB and probability of PD > 50%, and 37 age- and gender-matched healthy controls (HC). Each participant performed three tasks: Archimedean spiral drawing (to quantify graphomotor difficulties), sentence writing task (to quantify handwriting difficulties), and pentagon copying test (to quantify cognitive decline). Next, we parameterized the acquired data by various temporal, kinematic, dynamic, spatial, and task-specific features. And finally, we trained classification models for each task separately as well as a model for their combination to estimate the predictive power of the features for the identification of LBDs. Using this approach we were able to identify prodromal LBDs with 74% accuracy and showed the promising potential of computerized objective and non-invasive diagnosis of LBDs based on the assessment of graphomotor and handwriting difficulties.

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  • Exploring the Contribution of Isochrony-based Features to Computerized Assessment of Handwriting Disabilities

    45th International Conference on Telecommunications and Signal Processing (TSP)

    Approximately 30–60 % of the time children spend in school is associated with handwriting. However, up to 30 % of them experience handwriting disabilities (HD), which lead to a decrease in their academic performance. Current HD assessment methods are not unified and show signs of subjectivity which can lead to misdiagnosis. The aim of this paper is to propose a new approach to objective HD assessment based on the principle of movement isochrony. For this purpose, we used a database of 137…

    Approximately 30–60 % of the time children spend in school is associated with handwriting. However, up to 30 % of them experience handwriting disabilities (HD), which lead to a decrease in their academic performance. Current HD assessment methods are not unified and show signs of subjectivity which can lead to misdiagnosis. The aim of this paper is to propose a new approach to objective HD assessment based on the principle of movement isochrony. For this purpose, we used a database of 137 children attending a primary school, who performed a transcription and dictation task, and who were associated with a BHK (Concise Evaluation Scale for Children's Handwriting) score. Employing a machine learning model, we were able to estimate this score with 18 % error. An interpretation of the model suggests that the isochrony-based features could bring new benefits to the objective assessment of HD.

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  • Prodromal Diagnosis of Lewy Body Diseases Based on Actigraphy

    45th International Conference on Telecommunications and Signal Processing (TSP)

    This paper is devoted to the computerized auto-mated diagnosis of the prodromal state of Lewy body diseases (LBD) based on actigraphy. LBD is a group of neurodegenerative diseases that require early treatment to alleviate the course of the disease and improve the quality of the lives of patients. This work proposes a method of prodromal diagnosis of LBD based on quantitative analysis of actigraphic sleep data. A new method of sleep and wake detection based on the XGBoost classifier and the…

    This paper is devoted to the computerized auto-mated diagnosis of the prodromal state of Lewy body diseases (LBD) based on actigraphy. LBD is a group of neurodegenerative diseases that require early treatment to alleviate the course of the disease and improve the quality of the lives of patients. This work proposes a method of prodromal diagnosis of LBD based on quantitative analysis of actigraphic sleep data. A new method of sleep and wake detection based on the XGBoost classifier and the angle of the z-axis is introduced, which achieves 83 % accuracy and surpasses the results of state-of-the-art methods. Furthermore, a method that can distinguish subjects with prodromal LBD (50 subjects with Parkinson's disease, dementia with Lewy bodies or mild cognitive impairment) and healthy controls (63 subjects) with 94 % accuracy was introduced. The sensitivity of the method of 100 % and specificity of 91 % was considered sufficient for clinical practice and the proposed methods can help develop decision-making tools that maximize the potential for an early and objective diagnosis of LBD.

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  • Comparison of CNN-Learned vs. Handcrafted Features for Detection of Parkinson's Disease Dysgraphia in a Multilingual Dataset

    Frontiers in Neuroinformatics

    Parkinson's disease dysgraphia (PDYS), one of the earliest signs of Parkinson's disease (PD), has been researched as a promising biomarker of PD and as the target of a noninvasive and inexpensive approach to monitoring the progress of the disease. However, although several approaches to supportive PDYS diagnosis have been proposed (mainly based on handcrafted features (HF) extracted from online handwriting or the utilization of deep neural networks), it remains unclear which approach provides…

    Parkinson's disease dysgraphia (PDYS), one of the earliest signs of Parkinson's disease (PD), has been researched as a promising biomarker of PD and as the target of a noninvasive and inexpensive approach to monitoring the progress of the disease. However, although several approaches to supportive PDYS diagnosis have been proposed (mainly based on handcrafted features (HF) extracted from online handwriting or the utilization of deep neural networks), it remains unclear which approach provides the highest discrimination power and how these approaches can be transferred between different datasets and languages. This study aims to compare classification performance based on two types of features: features automatically extracted by a pretrained convolutional neural network (CNN) and HF designed by human experts. Both approaches are evaluated on a multilingual dataset collected from 143 PD patients and 151 healthy controls in the Czech Republic, United States, Colombia, and Hungary. The subjects performed the spiral drawing task (SDT; a language-independent task) and the sentence writing task (SWT; a language-dependent task). Models based on logistic regression and gradient boosting were trained in several scenarios, specifically single language (SL), leave one language out (LOLO), and all languages combined (ALC). We found that the HF slightly outperformed the CNN-extracted features in all considered evaluation scenarios for the SWT. In detail, the following balanced accuracy (BACC) scores were achieved: SL—0.65 (HF), 0.58 (CNN); LOLO—0.65 (HF), 0.57 (CNN); and ALC—0.69 (HF), 0.66 (CNN). However, in the case of the SDT, features extracted by a CNN provided competitive results: SL—0.66 (HF), 0.62 (CNN); LOLO—0.56 (HF), 0.54 (CNN); and ALC—0.60 (HF), 0.60 (CNN).

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  • Evaluation of TMS Effects on the Phonation of Parkinson’s Disease Patients

    International Work-Conference on the Interplay Between Natural and Artificial Computation (IWINAC 2022)

    Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive technique which is known to produce modifications in cortical brain activity. This paper is devoted to describe potential beneficial effects of rTMS on the phonation stability of Parkinson’s Disease Patients (PDPs). To this end, several measurements derived from phonation have been studied. The stability of phonation is evaluated on sustained emisions of certain open vowels, as [a:]. Using vocal tract inversion, a correlate…

    Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive technique which is known to produce modifications in cortical brain activity. This paper is devoted to describe potential beneficial effects of rTMS on the phonation stability of Parkinson’s Disease Patients (PDPs). To this end, several measurements derived from phonation have been studied. The stability of phonation is evaluated on sustained emisions of certain open vowels, as [a:]. Using vocal tract inversion, a correlate of the glottal source (pressure on the supraglottal rim of the vocal folds) is estimated from vowel emissions. The glottal source power spectral density is used to indirectly estimate the biomechanical tension of the vocal folds. The neuromotor instabilities experienced by PDPs, affecting the vocal fold tension are used as perturbation features related to tremor bands. A longitudinal analysis of the features from an active rTMS case can be compared in different time laps after rTMS, and tested against those from a similar study on a sham rTMS case. Relevant improvements on phonation stability may be appreciated on the active rTMS case compared to the sham one, which are reflected on several features as biomechanical tremor bands. These results open a new non-invasive, costless and remote methodology for PD functional neuromotor evaluation.

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  • Shannon entropy: A novel parameter for quantifying pentagon copying performance in non-demented Parkinson's disease patients

    Parkinsonism & Related Disorders

    Introduction
    Impaired copy of intersecting pentagons from the Mini-Mental State Examination (MMSE), has been used to assess dementia in Parkinson's disease (PD). We used a digitizing tablet during the pentagon copying test (PCT) as a potential tool for evaluating early cognitive deficits in PD without major cognitive impairment. We also aimed to uncover the neural correlates of the identified parameters using whole-brain magnetic resonance imaging (MRI).

    Methods
    We enrolled 27…

    Introduction
    Impaired copy of intersecting pentagons from the Mini-Mental State Examination (MMSE), has been used to assess dementia in Parkinson's disease (PD). We used a digitizing tablet during the pentagon copying test (PCT) as a potential tool for evaluating early cognitive deficits in PD without major cognitive impairment. We also aimed to uncover the neural correlates of the identified parameters using whole-brain magnetic resonance imaging (MRI).

    Methods
    We enrolled 27 patients with PD without major cognitive impairment and 25 age-matched healthy controls (HC). We focused on drawing parameters using a digitizing tablet. Parameters with between-group differences were correlated with cognitive outcomes and were used as covariates in the whole-brain voxel-wise analysis using voxel-based morphometry; familywise error (FWE) threshold p < 0.001.

    Results
    PD patients differed from HC in attention domain z-scores (p < 0.0001). In terms of tablet parameters, the groups differed in Shannon entropy (horizontal in-air, p = 0.003), which quantifies the movements between two strokes. In PD, a correlation was found between the median of Shannon entropy (horizontal in-air) and attention z-scores (R = −0.55, p = 0.006). The VBM revealed an association between our drawing parameter of interest and gray matter (GM) volume variability in the right superior parietal lobe (SPL).

    Conclusion
    Using a digitizing tablet during the PCT, we identified a novel entropy-based parameter that differed between the nondemented PD and HC groups. This in-air parameter correlated with the level of attention and was linked to GM volume variability of the region engaged in spatial attention.

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  • Online Handwriting, Signature and Touch Dynamics: Tasks and Potential Applications in the Field of Security and Health

    Cognitive Computation

    Advantageous property of behavioural signals (e.g. handwriting), in contrast to morphological ones (e.g. iris, fingerprint, hand geometry), is the possibility to ask a user to perform many different tasks. This article summarises recent findings and applications of different handwriting/drawing tasks in the field of security and health. More specifically, it is focused on on-line handwriting and hand-based interaction, i.e. signals that utilise a digitizing device (specific devoted or…

    Advantageous property of behavioural signals (e.g. handwriting), in contrast to morphological ones (e.g. iris, fingerprint, hand geometry), is the possibility to ask a user to perform many different tasks. This article summarises recent findings and applications of different handwriting/drawing tasks in the field of security and health. More specifically, it is focused on on-line handwriting and hand-based interaction, i.e. signals that utilise a digitizing device (specific devoted or general-purpose tablet/smartphone) during the realization of the tasks. Such devices permit the acquisition of on-surface dynamics as well as in-air movements in time, thus providing complex and richer information when compared to the conventional “pen and paper” method. Although the scientific literature reports a wide range of tasks and applications, in this paper, we summarize only those providing competitive results (e.g. in terms of discrimination power) and having a significant impact in the field.

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  • Automatic Segmentation of Actigraphy Data Utilising Gradient Boosting Algorithm

    44th International Conference on Telecommunications and Signal Processing

    As the popularity of decentralised clinical trials increases, there is a need to have a tool enabling remote assessment of sleep, while having good consistency with the golden standard, i.e. with polysomnography (PSG). This study aims to introduce a new approach to sleep assessment that utilises the modelling of actigraphy data by a gradient boosting algorithm. The method is compared to a conventional baseline technique in terms of sleep/wake stages detection accuracy in a dataset containing 55…

    As the popularity of decentralised clinical trials increases, there is a need to have a tool enabling remote assessment of sleep, while having good consistency with the golden standard, i.e. with polysomnography (PSG). This study aims to introduce a new approach to sleep assessment that utilises the modelling of actigraphy data by a gradient boosting algorithm. The method is compared to a conventional baseline technique in terms of sleep/wake stages detection accuracy in a dataset containing 55 recordings of actigraphy and PSG (acquired from 28 subjects). In addition, we explored how well the outputs of the new method agree with data acquired via sleep diaries in another dataset including 150 recordings (22 subjects). With 97% sensitivity and 73%specificity, the new method significantly outperformed the baseline one in modelling the PSG ground truth. On the other hand, it had a lower agreement with the patient-reported outcomes. The results suggest that a combination of both approaches could be a good alternative to the golden standard in remote sleep assessment studies.

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  • Multilingual Analysis of Speech and Voice Disorders in Patients with Parkinson's Disease

    44th International Conference on Telecommunications and Signal Processing

    Parkinson's disease (PD) is associated with several speech/voice disorders collectively referred to as hypokinetic dysarthria (HD). The main goal of this study is to identify acoustic features that support the diagnosis of PD while being independent of the language of a speaker. We recorded seven speech (e.g. monologue) and voice (e.g. sustained phonation) tasks in a cohort of 59 PD patients and 44 age-and gender-matched healthy controls (HC) speaking Czech or US English. A non-parametric test…

    Parkinson's disease (PD) is associated with several speech/voice disorders collectively referred to as hypokinetic dysarthria (HD). The main goal of this study is to identify acoustic features that support the diagnosis of PD while being independent of the language of a speaker. We recorded seven speech (e.g. monologue) and voice (e.g. sustained phonation) tasks in a cohort of 59 PD patients and 44 age-and gender-matched healthy controls (HC) speaking Czech or US English. A non-parametric test revealed that the best discrimination power has a measure quantifying the number of interword pauses per minute. In a consequent classification analysis, utilising logistic regression, we observed a drop in the classification accuracy from 72-73% to 67%, when moving from single-language modelling to the multilingual one. The results of this study suggest that especially the prosodic (pause-based) features could play a significant role in the automatic language-independent diagnosis of PD.

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  • Non-invasive brain stimulation for speech in Parkinson's disease: A randomized controlled trial

    Brain Stimulation

    Objectives
    We evaluated the long-term effects of multiple-session repetitive transcranial magnetic stimulation on hypokinetic dysarthria in PD. Neural mechanisms of stimulation were assessed by functional MRI.

    Methods
    A randomized parallel-group sham stimulation-controlled design was used. Patients were randomly assigned to ten sessions (2 weeks) of real (1 Hz) or sham stimulation over the right superior temporal gyrus. Stimulation effects were evaluated at weeks 2, 6, and 10 after…

    Objectives
    We evaluated the long-term effects of multiple-session repetitive transcranial magnetic stimulation on hypokinetic dysarthria in PD. Neural mechanisms of stimulation were assessed by functional MRI.

    Methods
    A randomized parallel-group sham stimulation-controlled design was used. Patients were randomly assigned to ten sessions (2 weeks) of real (1 Hz) or sham stimulation over the right superior temporal gyrus. Stimulation effects were evaluated at weeks 2, 6, and 10 after the baseline assessment. Articulation, prosody, and speech intelligibility were quantified by speech therapist using a validated tool (Phonetics score of the Dysarthric Profile). Activations of the speech network regions and intrinsic connectivity were assessed using 3T MRI. Linear mixed models and post-hoc tests were utilized for data analyses.

    Results
    Altogether 33 PD patients completed the study (20 in the real stimulation group and 13 in the sham stimulation group). Linear mixed models revealed significant effects of time (F(3, 88.1) = 22.7, p < 0.001) and time-by-group interactions: F(3, 88.0) = 2.8, p = 0.040) for the Phonetics score. Real as compared to sham stimulation led to activation increases in the orofacial sensorimotor cortex and caudate nucleus and to increased intrinsic connectivity of these regions with the stimulated area.

    Conclusions
    This is the first study to show the long-term treatment effects of non-invasive brain stimulation for hypokinetic dysarthria in PD. Neural mechanisms of the changes are discussed.

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  • Developmental Dysgraphia: A New Approach to Diagnosis

    International Journal of Assessment and Evaluation

    Writing is a complex skill. Issues in this process, which are usually associated with developmental dysgraphia (DD), could consistently cause problems in everyday life, like for example, lower self-esteem and poorer academic achievement. That is why the correct diagnosis of DD is crucial for further child development. DD belongs to the category of specific learning disabilities and according to different studies, its prevalence ranges between 0.1 and 30 percent. Diagnosing a child with DD…

    Writing is a complex skill. Issues in this process, which are usually associated with developmental dysgraphia (DD), could consistently cause problems in everyday life, like for example, lower self-esteem and poorer academic achievement. That is why the correct diagnosis of DD is crucial for further child development. DD belongs to the category of specific learning disabilities and according to different studies, its prevalence ranges between 0.1 and 30 percent. Diagnosing a child with DD relies, in the first place, on teachers. After that, psychologists, or special educational specialists (in the Czech Republic) commonly use qualitative evaluation of the written process, where the child is observed when he or she is writing. Nevertheless, there are no objective tests or standardized examinations for the assessment of handwriting deficiency either in special educational or psychological practices. In the frame of current research, a new quantitative approach to handwriting proficiency assessment was developed. Digitizing tablets (Wacom Intuos Pro L) with a special inking pen (Wacom Ink Pen) are used to record the online handwriting process and graphomotor skills of children. Administration templates contain simple graphomotor elements and complex figures related to DD symptoms and cognitive (memory and visuospatial) abilities. This new approach to diagnose handwriting issues will be presented in this article.

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  • Articulatory network reorganization in Parkinson’s disease as assessed by multimodal MRI and acoustic measures

    Parkinsonism & Related Disorders

    Introduction
    Hypokinetic dysarthria (HD) is common in Parkinson’s disease (PD). Our objective was to evaluate articulatory networks and their reorganization due to PD pathology in individuals without overt speech impairment using a multimodal MRI protocol and acoustic analysis of speech.

    Methods
    A total of 34 PD patients with no subjective HD complaints and 25 age-matched healthy controls (HC) underwent speech task recordings, structural MRI, and reading task-induced and…

    Introduction
    Hypokinetic dysarthria (HD) is common in Parkinson’s disease (PD). Our objective was to evaluate articulatory networks and their reorganization due to PD pathology in individuals without overt speech impairment using a multimodal MRI protocol and acoustic analysis of speech.

    Methods
    A total of 34 PD patients with no subjective HD complaints and 25 age-matched healthy controls (HC) underwent speech task recordings, structural MRI, and reading task-induced and resting-state fMRI. Grey matter probability maps, task-induced activations, and resting-state functional connectivity within the regions engaged in speech production (ROIs) were assessed and compared between groups. Correlation with acoustic parameters was also performed.

    Results
    PD patients as compared to HC displayed temporal decreases in speech loudness which were related to BOLD signal increases in the right-sided regions of the dorsal language pathway/articulatory network. Among those regions, activation of the right anterior cingulate was increased in PD as compared to HC. We also found bilateral posterior superior temporal gyrus (STG) GM loss in PD as compared to HC that was strongly associated with diadochokinetic (DDK) irregularity in the PD group. Task-induced activations of the left STG were increased in PD as compared to HC and were related to the DDK rate control.

    Conclusions
    The results provide insight into the neural correlates of speech production control and distinct articulatory network reorganization in PD apparent already in patients without subjective speech impairment.

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  • Mozart effect in epilepsy: Why is Mozart better than Haydn? Acoustic qualities‐based analysis of SEEG

    European Journal of Neurology

    Background
    We aimed to confirm the “Mozart effect” in epileptic patients using the intracerebral EEG recordings and the hypothesis that the reduction of epileptiform discharges (ED) can be explained by the music’s acoustic properties.

    Methods
    Eighteen epilepsy surgery candidates were implanted with depth electrodes in the temporal medial and lateral cortex. Patients listened to the first movement of Mozart’s Sonata for Two Pianos K. 448 and to the first movement of Haydn’s Symphony…

    Background
    We aimed to confirm the “Mozart effect” in epileptic patients using the intracerebral EEG recordings and the hypothesis that the reduction of epileptiform discharges (ED) can be explained by the music’s acoustic properties.

    Methods
    Eighteen epilepsy surgery candidates were implanted with depth electrodes in the temporal medial and lateral cortex. Patients listened to the first movement of Mozart’s Sonata for Two Pianos K. 448 and to the first movement of Haydn’s Symphony No. 94. Musical features from each composition with respect to rhythm, melody, and harmony were analysed.

    Results
    ED in intracerebral EEG were reduced by Mozart’s music. Listening to Haydn’s music led to reduced ED only in the women; in the men, the ED increased.

    The acoustic analysis revealed that non‐dissonant music with a harmonic spectrum and decreasing tempo with significant high‐frequency parts has a reducing effect on ED in men. To reduce ED in women, the music should additionally be, in terms of loudness, gradually less dynamic. Finally, we were able to demonstrate that these acoustic characteristics are more dominant in Mozart’s music than in Haydn’s music.

    Conclusions
    We confirmed the reduction of intracerebral ED while listening to classical music. An analysis of the musical features revealed that the acoustic characteristics of music are responsible for supressing brain epileptic activity. Based on our study we suggest to study the use of musical pieces with well‐defined acoustic properties as an alternative non‐invasive method to reduce epileptic activity in patients with epilepsy.

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  • Analysis of Various Fractional Order Derivatives Approaches in Assessment of Graphomotor Difficulties

    IEEE Access

    Graphomotor disabilities (GD) are present in up to 30% of school-aged children and are associated with several symptoms in the field of kinematics. Although the basic kinematic features such as velocity, acceleration, and jerk were proved to effectively quantify these symptoms, a recent body of research identified that the theory of fractional calculus can be used to even improve the objective GD assessment. The goal of this study is to extend the current knowledge in this field and explore the…

    Graphomotor disabilities (GD) are present in up to 30% of school-aged children and are associated with several symptoms in the field of kinematics. Although the basic kinematic features such as velocity, acceleration, and jerk were proved to effectively quantify these symptoms, a recent body of research identified that the theory of fractional calculus can be used to even improve the objective GD assessment. The goal of this study is to extend the current knowledge in this field and explore the abilities of several fractional order derivatives (FD) approximations to estimate the severity of GD in the children population. We enrolled 85 children attending the 3rd and 4th grade of primary school, who performed a combined loop task on a digitizing tablet. Their performance was rated by psychologists and the online handwriting signals were parametrised by kinematic features utilising three FD approximations: Grünwald-Letnikov’s, Riemann–Liouville’s, and Caputo’s. In this study, we showed the differences across the employed FD approaches for the same kinematic handwriting features and their potential in GD analysis. The results suggest that the Riemann-Liouville’s approximation in the field of quantitative GD analysis outperforms the other ones. Using this approach, we were able to estimate the overall score with a low error of 0.65 points, while the scale range is 4. In fact, the psychologists tend to make the error even higher.

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  • Patterns of diffusion kurtosis changes in Parkinson's disease subtypes

    Parkinsonism & Related Disorders

    Background
    Diffusion kurtosis imaging has been applied to evaluate white matter and basal ganglia microstructure in mixed Parkinson's disease (PD) groups with inconclusive results.

    Objectives
    To evaluate specific patterns of kurtosis changes in PD and to assess the utility of diffusion imaging in differentiating between healthy subjects and cognitively normal PD, and between PD with and without mild cognitive impairment.

    Methods
    Diffusion scans were obtained in 92…

    Background
    Diffusion kurtosis imaging has been applied to evaluate white matter and basal ganglia microstructure in mixed Parkinson's disease (PD) groups with inconclusive results.

    Objectives
    To evaluate specific patterns of kurtosis changes in PD and to assess the utility of diffusion imaging in differentiating between healthy subjects and cognitively normal PD, and between PD with and without mild cognitive impairment.

    Methods
    Diffusion scans were obtained in 92 participants using 3T MRI. Differences in white matter were tested by tract-based spatial statistics. Gray matter was evaluated in basal ganglia, thalamus, hippocampus, and motor and premotor cortices. Brain atrophy was also assessed. Multivariate logistic regression was used to identify a combination of diffusion parameters with the highest discrimination power between groups.

    Results
    Diffusion kurtosis metrics showed a significant increase in substantia nigra (p = 0.037, Hedges' g = 0.89), premotor (p = 0.009, Hedges' g = 0.85) and motor (p = 0.033, Hedges' g = 0.87) cortices in PD with normal cognition compared to healthy participants. Combined diffusion markers in gray matter reached 81% accuracy in differentiating between both groups. Significant white matter microstructural changes, and kurtosis decreases in the cortex were present in cognitively impaired versus cognitively normal PD. Diffusion parameters from white and gray matter differentiated between both PD phenotypes with 78% accuracy.

    Conclusions
    Increased kurtosis in gray matter structures in cognitively normal PD reflects increased hindrance to water diffusion caused probably by alpha-synuclein-related microstructural changes. In cognitively impaired PD, the changes are mostly driven by decreased white matter integrity. Our results support the utility of diffusion kurtosis imaging for PD diagnostics.

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  • A Methodology to Differentiate Parkinson's Disease and Aging Speech Based on Glottal Flow Acoustic Analysis

    International Journal of Neural Systems

    Speech is controlled by axial neuromotor systems, therefore, it is highly sensitive to the effects of neurodegenerative illnesses such as Parkinson’s Disease (PD). Patients suffering from PD present important alterations in speech, which are manifested in phonation, articulation, prosody, and fluency. These alterations may be evaluated using statistical methods on features obtained from glottal, spectral, cepstral, or fractal descriptions of speech. This work introduces an evaluation paradigm…

    Speech is controlled by axial neuromotor systems, therefore, it is highly sensitive to the effects of neurodegenerative illnesses such as Parkinson’s Disease (PD). Patients suffering from PD present important alterations in speech, which are manifested in phonation, articulation, prosody, and fluency. These alterations may be evaluated using statistical methods on features obtained from glottal, spectral, cepstral, or fractal descriptions of speech. This work introduces an evaluation paradigm based on Information Theory (IT) to differentiate the effects of PD and aging on glottal amplitude distributions. The study is conducted on a database including 48 PD patients (24 males, 24 females), 48 age-matched healthy controls (HC, 24 males, 24 females), and 48 mid-age normative subjects (NS, 24 males, 24 females). It may be concluded from the study that Hierarchical Clustering (HiCl) methods produce a clear separation between the phonation of PD patients from NS subjects (accuracy of 89.6% for both male and female subsets), but the separation between PD patients and HC subjects is less efficient (accuracy of 75.0% for the male subset and 70.8% for the female subset). Conversely, using feature selection and Support Vector Machine (SVM) classification, the differentiation between PD and HC is substantially improved (accuracy of 94.8% for the male subset and 92.8% for the female subset). This improvement was mainly boosted by feature selection, at a cost of information and generalization losses. The results point to the possibility that speech deterioration may affect HC phonation with aging, reducing its difference to PD phonation.

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  • Alzheimer's disease and automatic speech analysis: A review

    Expert Systems with Applications

    The objective of this paper is to present the state of-the-art relating to automatic speech and voice analysis techniques as applied to the monitoring of patients suffering from Alzheimer's disease as well as to shed light on possible future research topics. This work reviews more than 90 papers in the existing literature and focuses on the main feature extraction techniques and classification methods used. In order to guide researchers interested in working in this area, the most frequently…

    The objective of this paper is to present the state of-the-art relating to automatic speech and voice analysis techniques as applied to the monitoring of patients suffering from Alzheimer's disease as well as to shed light on possible future research topics. This work reviews more than 90 papers in the existing literature and focuses on the main feature extraction techniques and classification methods used. In order to guide researchers interested in working in this area, the most frequently used data repositories are also given. Likewise, it identifies the most clinically relevant results and the current lines developed in the field. Automatic speech analysis, within the Health 4.0 framework, offers the possibility of assessing these patients, without the need for a specific infrastructure, by means of non-invasive, fast and inexpensive techniques as a complement to the current diagnostic methods.

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  • Advanced Parametrization of Graphomotor Difficulties in School-Aged Children

    IEEE Access

    School-aged children spend 31-60% of their time at school performing handwriting, which is a complex perceptual-motor skill composed of a coordinated combination of fine graphomotor movements. As up to 30% of them experience graphomotor difficulties (GD), timely diagnosis of these difficulties and therapeutic intervention are of great importance. At present, an objective, computerized decision support system for the identification and assessment of GD in school-aged children is still missing…

    School-aged children spend 31-60% of their time at school performing handwriting, which is a complex perceptual-motor skill composed of a coordinated combination of fine graphomotor movements. As up to 30% of them experience graphomotor difficulties (GD), timely diagnosis of these difficulties and therapeutic intervention are of great importance. At present, an objective, computerized decision support system for the identification and assessment of GD in school-aged children is still missing. In this study, we propose three novel advanced handwriting parametrization techniques based on modulation spectra, fractional order derivatives, and tunable Q-factor wavelet transform to improve the identification of GD using online handwriting. For this purpose, we analyzed signals acquired from 7 basic graphomotor tasks performed by 53 children attending 3rd and 4th grade at several primary schools around the Czech Republic. Combining the newly proposed features with the conventionally used ones, we were able to identify GD with 84% accuracy. In this study, we showed that using advanced parametrization of basic graphomotor movements can be potentially used to improve our capabilities of quantifying problems with the development of legible, fast-paced handwriting, and help with the early diagnosis of handwriting difficulties frequently manifested in developmental dysgraphia.

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  • Parkinson’s disease glottal flow characterization: Phonation features vs amplitude distributions

    13th International Joint Conference on Biomedical Engineering Systems and Technologies

    The study of speech and voice in people diagnosed with a neurodegenerative disorder for the purposes of detection and monitoring has known a very relevant push forward in these last years, but it is far from being completed. One of the main concerns nowadays is that once the deterioration of speech and phonation quality has been informed by machine learning relying upon clinical expertise, there is insufficient evidence to resolve if quality deterioration may come from organic causes…

    The study of speech and voice in people diagnosed with a neurodegenerative disorder for the purposes of detection and monitoring has known a very relevant push forward in these last years, but it is far from being completed. One of the main concerns nowadays is that once the deterioration of speech and phonation quality has been informed by machine learning relying upon clinical expertise, there is insufficient evidence to resolve if quality deterioration may come from organic causes, neuromotor degeneration or simply from aging. The present work is part of a more ambitious plan to shed light on this problem by resorting to a theoretical modelling of glottal signals under the main known causes affecting phonation quality, which are closure deficits during the phonation cycle. These deficits may be due to anatomical, organic pathologic or neuromotor reasons. Simulation examples explaining them in the glottal excitation signals are given and contrasted with real examples. Finally, relevant scores from an experimental separation of Parkinson Disease phonation samples from 24 male and 24 female subjects against aging 24 male and 24 female controls on the same age taken from a male-female balanced dataset confronted to a normative subset of 24 male and 24 female speakers are presented to exemplify an analysis study deepening into this problem. Although classification accuracy scores as high as 99.69 and 99.59 were attained in 10-fold cross-validation using an SVM classifier, there is still the impression that co-morbidity and aging effects are not well taken into account, requiring a further semantic study on the features behind the discrimination scores obtained.

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  • Psychometric Properties of Screening Questionnaires for Children With Handwriting Issues

    Frontiers in Psychology

    Dysgraphia (D) is a complex specific learning disorder with a prevalence of up to 30%, which is linked with handwriting issues. The factors recognized for assessing these issues are legibility and performance time. Two questionnaires, the Handwriting Proficiency Screening Questionnaire (HPSQ) for teachers and its modification for children (HPSQ-C), were established as quick and valid screening tools along with a third factor – emotional and physical well-being. Until now, in the Czechia, there…

    Dysgraphia (D) is a complex specific learning disorder with a prevalence of up to 30%, which is linked with handwriting issues. The factors recognized for assessing these issues are legibility and performance time. Two questionnaires, the Handwriting Proficiency Screening Questionnaire (HPSQ) for teachers and its modification for children (HPSQ-C), were established as quick and valid screening tools along with a third factor – emotional and physical well-being. Until now, in the Czechia, there has been no validated screening tool for D diagnosis. A study was conducted on a set of 294 children from 3rd and 4th year of primary school (132 girls/162 boys; Mage 8.96 ± 0.73) and 21 teachers who spent most of their time with them. Confirmatory factor analysis based on the theoretical background showed poor fit for HPSQ [χ2(32) = 115.07, p < 0.001; comparative fit index (CFI) = 0.95; Tucker–Lewis index (TLI) = 0.93; root mean square error of approximation (RMSEA) = 0.09; standard root mean square residual (SRMR) = 0.05] and excellent fit for HPSQ-C [χ2(32) = 31.12, p = 0.51; CFI = 1.0; TLI = 1.0; RMSEA = 0.0; SRMR = 0.04]. For the HPSQ-C models, there were no differences between boys and girls [Δχ2(7) = 12.55, p = 0.08]. Values of McDonalds’s ω indicate excellent (HPSQ, ω = 0.9) and acceptable (HPSQ-C, ω = 0.7) reliability. Boys were assessed as worse writers than girls based on the results of both questionnaires. The grades positively correlate with the total scores of both HPSQ (r = 0.54, p < 0.01) and HPSQ-C (r = 0.28, p < 0.01). Based on the results, for the assessment of handwriting difficulties experienced by Czech children, we recommend using the HPSQ-C questionnaire for research purposes.

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  • Computerised Assessment of Graphomotor Difficulties in a Cohort of School-aged Children

    11th International Congress on Ultra Modern Telecommunications and Control Systems and Workshops (ICUMT)

    Although graphomotor difficulties (GD) are present in up to 30% of school-aged children, the field of GD diagnosis and assessment is not fully explored and several research gaps can be identified. This study aims to explore the impact of specific elementary graphomotor tasks analysis on the accuracy of computerised diagnosis and assessment of GD. We analysed seven basic graphomotor tasks from 76 children (assessed by special educational counsellors and using the handwriting proficiency…

    Although graphomotor difficulties (GD) are present in up to 30% of school-aged children, the field of GD diagnosis and assessment is not fully explored and several research gaps can be identified. This study aims to explore the impact of specific elementary graphomotor tasks analysis on the accuracy of computerised diagnosis and assessment of GD. We analysed seven basic graphomotor tasks from 76 children (assessed by special educational counsellors and using the handwriting proficiency screening questionnaire for children HPSQ-C). Employing a differential analysis, we observed that the most discriminative tasks are based on combined loops, sawtooth and small Archimedean spiral drawings. Features with the highest discrimination power quantify kinematics, especially in the vertical projection. Using a multivariate mathematical model, we were able to identify GD with 50% sensitivity and 90% specificity, and to estimate the total score of HPSQ-C with 31% error.

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  • Fractional Order Derivatives Evaluation in Computerized Assessment of Handwriting Difficulties in School-aged Children

    11th International Congress on Ultra Modern Telecommunications and Control Systems and Workshops (ICUMT)

    Handwriting difficulties (HD) affects some of the school-aged children and its current prevalence rate is between 5-34%. Children at primary schools have to face rising cognitive demands that the handwriting represents, and some of them are not able to do so. As a result, they tend to make mistakes and their written product is dysfluent and has poor legibility. HD can also lead them to lower self-esteem, learning difficulties and ultimately to less academic achievements. For this reason…

    Handwriting difficulties (HD) affects some of the school-aged children and its current prevalence rate is between 5-34%. Children at primary schools have to face rising cognitive demands that the handwriting represents, and some of them are not able to do so. As a result, they tend to make mistakes and their written product is dysfluent and has poor legibility. HD can also lead them to lower self-esteem, learning difficulties and ultimately to less academic achievements. For this reason occupational therapists are trying to identify HD through examination as early as possible. We extracted online handwriting signals of children using digitizing tablets. Handwriting Proficiency Screening Questionnaire for Children (HPSQ-C) was used to score severity of HD in children's written product. To advance current computerized analysis of online handwriting, we employed fractional order derivative features (FD) together with conventional measures. We selected significant features for HD identification and utilized correlation analysis together with Mann-Whitney U-test to evaluate their discriminative power. We can conclude that FD-based features bring benefits of more robust quantification of in-air movements as opposed to the conventionally used ones. Finally, we have shown that utilization of FD can be beneficial for computerized assessment of HD but should be further optimized and evaluated with advanced statistical or machine learning methods.

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  • Performance of Articulation Kinetic Distributions Vs MFCCs in Parkinson’s Detection from Vowel Utterances

    Neural Approaches to Dynamics of Signal Exchanges

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises, or running speech. Classically, mel-frequency cepstral coefficients (MFCCs) have been used in the organic and neurologic characterization of pathologic phonation using sustained vowels. In the present paper, a comparative study has been carried on comparing Parkinson’s disease detection results using MFCCs and vowel articulation kinematic…

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises, or running speech. Classically, mel-frequency cepstral coefficients (MFCCs) have been used in the organic and neurologic characterization of pathologic phonation using sustained vowels. In the present paper, a comparative study has been carried on comparing Parkinson’s disease detection results using MFCCs and vowel articulation kinematic distributions derived from the first two formants. Binary classification results using support vector machines avail the superior performance of articulation kinematic distributions with respect to MFCCs regarding sensitivity, specificity, and accuracy. The fusion of both types of features could lead to improve general performance in PD detection and monitoring from speech.

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  • Performance of Articulation Kinetic Distributions Vs MFCCs in Parkinson’s Detection from Vowel Utterances

    Neural Approaches to Dynamics of Signal Exchanges

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises, or running speech. Classically, mel-frequency cepstral coefficients (MFCCs) have been used in the organic and neurologic characterization of pathologic phonation using sustained vowels. In the present paper, a comparative study has been carried on comparing Parkinson’s disease detection results using MFCCs and vowel articulation kinematic…

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises, or running speech. Classically, mel-frequency cepstral coefficients (MFCCs) have been used in the organic and neurologic characterization of pathologic phonation using sustained vowels. In the present paper, a comparative study has been carried on comparing Parkinson’s disease detection results using MFCCs and vowel articulation kinematic distributions derived from the first two formants. Binary classification results using support vector machines avail the superior performance of articulation kinematic distributions with respect to MFCCs regarding sensitivity, specificity, and accuracy. The fusion of both types of features could lead to improve general performance in PD detection and monitoring from speech.

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  • Analysis of Parkinson’s Disease Dysgraphia Based on Optimized Fractional Order Derivative Features

    27th European Signal Processing Conference (EUSIPCO)

    Parkinson's disease (PD) is a common neurodegenerative disorder with prevalence rate estimated to 1.5 % for people age over 65 years. The majority of PD patients is associated with handwriting abnormalities called PD dysgraphia, which is linked with rigidity and bradykinesia of muscles involved in the handwriting process. One of the effective approaches of quantitative PD dysgraphia analysis is based on online handwriting processing. In the frame of this study we aim to deeply evaluate and…

    Parkinson's disease (PD) is a common neurodegenerative disorder with prevalence rate estimated to 1.5 % for people age over 65 years. The majority of PD patients is associated with handwriting abnormalities called PD dysgraphia, which is linked with rigidity and bradykinesia of muscles involved in the handwriting process. One of the effective approaches of quantitative PD dysgraphia analysis is based on online handwriting processing. In the frame of this study we aim to deeply evaluate and optimize advanced PD handwriting quantification based on fractional order derivatives (FD). For this purpose, we used 37 PD patients and 38 healthy controls from the PaHaW (PD handwriting database). The FD based features were employed in classification and regression analysis (using gradient boosted trees), and evaluated in terms of their discrimination power and abilities to assess severity of PD. The results suggest that the most discriminative and descriptive information provide FD based features extracted from a repetitive loop task or a sentence copy task (maximum sensitivity/specificity = 76 %, error in severity assessment = 14 %, error in PD duration estimation = 22 %). Next, we identified two optimal ranges for the order of fractional derivative, α = 0.05-0.45 and α = 0.65-0.80. Finally, we observed that inclusion of pressure, azimuth, and tilt together with kinematic features into mathematical modeling has no influence (positive or negative) on classification performance, however, there was a notable improvement in the estimation of PD duration.

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  • Characterization of Parkinson’s disease dysarthria in terms of speech articulation kinematics

    Biomedical Signal Processing and Control

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises or running speech. Classically the Vowel Space Area (VSA) and the Formant Centralization Ratio (FCR) have been proposed to describe dysarthria in Parkinson’s Disease (PD). These features are based in global estimations of the positions of the first two formants in the representation of a vowel triangle. The aim of the paper is to give a…

    Speech is a vehicular tool to detect neurological degeneration using certain accepted biomarkers derived from sustained vowels, diadochokinetic exercises or running speech. Classically the Vowel Space Area (VSA) and the Formant Centralization Ratio (FCR) have been proposed to describe dysarthria in Parkinson’s Disease (PD). These features are based in global estimations of the positions of the first two formants in the representation of a vowel triangle. The aim of the paper is to give a description of speech articulation dynamics as a probability density function of the kinematic features derived from the evolution of formants in the time domain. The statistical distribution of the dynamic behavior of articulation features can be used to estimate differences between speech features from subjects with Parkinson’s dysarthria relative to normative subjects. Utterances of vowels [a:, i:, u:] from a subset of 16 subjects with PD (8 males and 8 females), confronted to a subset of 16 normative subjects (8 males and 8 females) have shown that the statistical distributions of dynamic articulation features can be differentiated using information theory based estimations such as Kullback-Leibler and Jensen-Shannon Divergence (JSD). These estimations allow establishing relevant statistical differences between PD and normative subjects both for males and females, improving the differentiation capability of VSA and FCR.

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  • New Approach of Dysgraphic Handwriting Analysis Based on the Tunable Q-Factor Wavelet Transform

    42nd International Convention on Information and Communication Technology, Electronics and Microelectronics (MIPRO)

    Developmental dysgraphia is a neurodevelopmental disorder present in up to 30% of elementary school pupils. Since it is associated with handwriting difficulties (HD), it has detrimental impact on children's academic progress, emotional well-being, attitude and behaviour. Nowadays, researchers proposed a new approach of HD assessment utilizing digitizing tablets. I.e. that handwriting of children is quantified by a set of conventional parameters, such as velocity, duration of handwriting, tilt…

    Developmental dysgraphia is a neurodevelopmental disorder present in up to 30% of elementary school pupils. Since it is associated with handwriting difficulties (HD), it has detrimental impact on children's academic progress, emotional well-being, attitude and behaviour. Nowadays, researchers proposed a new approach of HD assessment utilizing digitizing tablets. I.e. that handwriting of children is quantified by a set of conventional parameters, such as velocity, duration of handwriting, tilt, etc. The aim of this study is to explore a potential of newly designed online handwriting features based on the tunable Q-factor wavelet transform (TQWT) in terms of computerized HD identification. Using a digitizing tablet, we recorded a written paragraph of 97 children who were also assessed by the Handwriting Proficiency Screening Questionnaire for Children (HPSQ-C). We evaluated discrimination power (binary classification) of all parameters using random forest and support vector machine classifiers in combination with sequential floating forward feature selection. Based on the experimental results we observed that the newly designed features outperformed the conventional ones (accuracy = 79.16%, sensitivity = 86.22%, specificity = 73.32%). When considering the combination of all parameters (including the conventional ones) we reached 84.66% classification accuracy (sensitivity = 88.70%, specificity = 82.53%). The most discriminative parameters were based on vertical movement and pressure, which suggests that children with HD were not able to maintain stable force on pen tip and that their vertical movement is less fluent. The new features we introduced go beyond the state-of-the-art and improve discrimination power of the conventional parameters by approximately 20.0%.

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  • Evaluating Instability on Phonation in Parkinson's Disease and Aging Speech

    International Work-Conference on the Interplay Between Natural and Artificial Computation

    Speech is controlled by axial neuromotor systems, highly sensible to certain neurodegenerative illnesses as Parkinson’s Disease (PD). Patients suffering PD present important alterations in speech, which manifest in phonation, articulation, prosody and fluency. Usually phonation and articulation alterations are estimated using different statistical frameworks and methods. The present study introduces a new paradigm based on Information Theory fundamentals to use common statistical tools to…

    Speech is controlled by axial neuromotor systems, highly sensible to certain neurodegenerative illnesses as Parkinson’s Disease (PD). Patients suffering PD present important alterations in speech, which manifest in phonation, articulation, prosody and fluency. Usually phonation and articulation alterations are estimated using different statistical frameworks and methods. The present study introduces a new paradigm based on Information Theory fundamentals to use common statistical tools to differentiate and score PD speech on phonation and articulation estimates. A study describing the performance of a methodology based on this common framework on a database including 16 PD patients, 16 age-paired healthy controls (HC) and 16 mid-age normative subjects (NS) is presented. The results point out to the clear separation between PD patients and HC subjects with respect to NS, but an unclear differentiation between PD and HC. The most important conclusion is that special effort is needed to establish differentiating features between PD, and organic laryngeal, from aging speech.

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  • Non-invasive stimulation of the auditory feedback area for improved articulation in Parkinson's disease

    Parkinsonism & Related Disorders

    Introduction
    Hypokinetic dysarthria (HD) is a common symptom of Parkinson's disease (PD) which does not respond well to PD treatments. We investigated acute effects of repetitive transcranial magnetic stimulation (rTMS) of the motor and auditory feedback area on HD in PD using acoustic analysis of speech.

    Methods
    We used 10 Hz and 1 Hz stimulation protocols and applied rTMS over the left orofacial primary motor area, the right superior temporal gyrus (STG), and over the vertex (a…

    Introduction
    Hypokinetic dysarthria (HD) is a common symptom of Parkinson's disease (PD) which does not respond well to PD treatments. We investigated acute effects of repetitive transcranial magnetic stimulation (rTMS) of the motor and auditory feedback area on HD in PD using acoustic analysis of speech.

    Methods
    We used 10 Hz and 1 Hz stimulation protocols and applied rTMS over the left orofacial primary motor area, the right superior temporal gyrus (STG), and over the vertex (a control stimulation site) in 16 PD patients with HD. A cross-over design was used. Stimulation sites and protocols were randomised across subjects and sessions. Acoustic analysis of a sentence reading task performed inside the MR scanner was used to evaluate rTMS-induced effects on motor speech. Acute fMRI changes due to rTMS were also analysed.

    Results
    The 1 Hz STG stimulation produced significant increases of the relative standard deviation of the 2nd formant (p = 0.019), i.e. an acoustic parameter describing the tongue and jaw movements. The effects were superior to the control site stimulation and were accompanied by increased resting state functional connectivity between the stimulated region and the right parahippocampal gyrus. The rTMS-induced acoustic changes were correlated with the reading task-related BOLD signal increases of the stimulated area (R = 0.654, p = 0.029).

    Conclusion
    Our results demonstrate for the first time that low-frequency stimulation of the temporal auditory feedback area may improve articulation in PD and enhance functional connectivity between the STG and the cortical region involved in an overt speech control.

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  • Comparing Parkinson's disease dysarthria and aging speech using articulation kinematics

    12th International Joint Conference on Biomedical Engineering Systems and Technologies

    Speech is being considered a pervasive and costless means to detect and monitor neurodegenerative disease progression. Many different approaches have been reported to differentiate normative subject speech from neurodegenerative patient speech. Most of them are focussed on statistical pattern recognition approaches to improve detection results on a baseline, considering only patient speech and normative controls. The definition of a normative control is not well established in itself, usually…

    Speech is being considered a pervasive and costless means to detect and monitor neurodegenerative disease progression. Many different approaches have been reported to differentiate normative subject speech from neurodegenerative patient speech. Most of them are focussed on statistical pattern recognition approaches to improve detection results on a baseline, considering only patient speech and normative controls. The definition of a normative control is not well established in itself, usually being subjects free of any pathology aligned in the same age range as patients. But one question which is not taken into account is the effects of aging in healthy controls, as usually neurodegenerative diseases may include mostly patients affected by certain effects, as dysphonia or dysarthria, as a consequence of aging. The present research introduces a methodology based on information theory to compare the effects produced by aging dysarthria with those due to Parkinson's Disease, using the statistical distribution of speech articulation kinematics as a marker. On the one hand, it may be concluded that articulation kinematics is substantially different for PD and HC with respect to normative subjects. On the other hand, this does not seem to be the case between PD and HC subjects, as these subsets may share some dysarthric features which may be contributed more by aging than by neuromotor degeneration. This differentiation problem needs to be evaluated as well in the case of phonation features, otherwise there will not be full guarantee in using phonation features to assess neuromotor degeneration. In this sense new methodologies have to be designed to distinguish neurodegenerative from aging speech granting better guarantees.

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  • Identification and Monitoring of Parkinson’s Disease Dysgraphia Based on Fractional-Order Derivatives of Online Handwriting

    Applied Sciences

    Parkinson’s disease dysgraphia affects the majority of Parkinson’s disease (PD) patients and is the result of handwriting abnormalities mainly caused by motor dysfunctions. Several effective approaches to quantitative PD dysgraphia analysis, such as online handwriting processing, have been utilized. In this study, we aim to deeply explore the impact of advanced online handwriting parameterization based on fractional-order derivatives (FD) on the PD dysgraphia diagnosis and its monitoring. For…

    Parkinson’s disease dysgraphia affects the majority of Parkinson’s disease (PD) patients and is the result of handwriting abnormalities mainly caused by motor dysfunctions. Several effective approaches to quantitative PD dysgraphia analysis, such as online handwriting processing, have been utilized. In this study, we aim to deeply explore the impact of advanced online handwriting parameterization based on fractional-order derivatives (FD) on the PD dysgraphia diagnosis and its monitoring. For this purpose, we used 33 PD patients and 36 healthy controls from the PaHaW (PD handwriting database). Partial correlation analysis (Spearman’s and Pearson’s) was performed to investigate the relationship between the newly designed features and patients’ clinical data. Next, the discrimination power of the FD features was evaluated by a binary classification analysis. Finally, regression models were trained to explore the new features’ ability to assess the progress and severity of PD. These results were compared to a baseline, which is based on conventional online handwriting features. In comparison with the conventional parameters, the FD handwriting features correlated more significantly with the patients’ clinical characteristics and provided a more accurate assessment of PD severity (error around 12%). On the other hand, the highest classification accuracy (ACC = 97.14%) was obtained by the conventional parameters. The results of this study suggest that utilization of FD in combination with properly selected tasks (continuous and/or repetitive, such as the Archimedean spiral) could improve computerized PD severity assessment.

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  • Changes in Phonation and Their Relations with Progress of Parkinson’s Disease

    Applied Sciences

    Hypokinetic dysarthria, which is associated with Parkinson’s disease (PD), affects several speech dimensions, including phonation. Although the scientific community has dealt with a quantitative analysis of phonation in PD patients, a complex research revealing probable relations between phonatory features and progress of PD is missing. Therefore, the aim of this study is to explore these relations and model them mathematically to be able to estimate progress of PD during a two-year follow-up…

    Hypokinetic dysarthria, which is associated with Parkinson’s disease (PD), affects several speech dimensions, including phonation. Although the scientific community has dealt with a quantitative analysis of phonation in PD patients, a complex research revealing probable relations between phonatory features and progress of PD is missing. Therefore, the aim of this study is to explore these relations and model them mathematically to be able to estimate progress of PD during a two-year follow-up. We enrolled 51 PD patients who were assessed by three commonly used clinical scales. In addition, we quantified eight possible phonatory disorders in five vowels. To identify the relationship between baseline phonatory features and changes in clinical scores, we performed a partial correlation analysis. Finally, we trained XGBoost models to predict the changes in clinical scores during a two-year follow-up. For two years, the patients’ voices became more aperiodic with increased microperturbations of frequency and amplitude. Next, the XGBoost models were able to predict changes in clinical scores with an error in range 11–26%. Although we identified some significant correlations between changes in phonatory features and clinical scores, they are less interpretable. This study suggests that it is possible to predict the progress of PD based on the acoustic analysis of phonation. Moreover, it recommends utilizing the sustained vowel /i/ instead of /a/.

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  • Advanced Parkinson's Disease Dysgraphia Analysis Based on Fractional Derivatives of Online Handwriting

    10th International Congress on Ultra Modern Telecommunications and Control Systems and Workshops (ICUMT).

    Parkinson's disease (PD) is one of the most frequent neurodegenerative disorder with progressive decline in several motor and non-motor skills. Due to time-consuming and partially subjective conventional PD diagnosis, several more effective approaches based on signal processing and machine learning, e. g. online handwriting analysis, have been proposed. This paper introduces a new methodology of PD dysgraphia analysis based on fractional derivatives applied in PD handwriting quantification. The…

    Parkinson's disease (PD) is one of the most frequent neurodegenerative disorder with progressive decline in several motor and non-motor skills. Due to time-consuming and partially subjective conventional PD diagnosis, several more effective approaches based on signal processing and machine learning, e. g. online handwriting analysis, have been proposed. This paper introduces a new methodology of PD dysgraphia analysis based on fractional derivatives applied in PD handwriting quantification. The proposed methodology was evaluated on a database that consists 33 PD patients and 36 healthy controls who performed several handwriting tasks. Employing random forests classifier in combination with 5 kinematic features based on fractional-order derivatives we reached 90% classification accuracy, 89% sensitivity, and 91% specificity. In comparison with the results of other related works dealing with the same database, the proposed approach brings improvements in PD dysgraphia diagnosis and confirms the impact of fractional derivatives in kinematic analysis.

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  • Neuromechanical Modelling of Articulatory Movements from Surface Electromyography and Speech Formants

    International Journal of Neural Systems

    Speech articulation is produced by the movements of muscles in the larynx, pharynx, mouth and face. Therefore speech shows acoustic features as formants which are directly related with neuromotor actions of these muscles. The first two formants are strongly related with jaw and tongue muscular activity. Speech can be used as a simple and ubiquitous signal, easy to record and process, either locally or on e-Health platforms. This fact may open a wide set of applications in the study of…

    Speech articulation is produced by the movements of muscles in the larynx, pharynx, mouth and face. Therefore speech shows acoustic features as formants which are directly related with neuromotor actions of these muscles. The first two formants are strongly related with jaw and tongue muscular activity. Speech can be used as a simple and ubiquitous signal, easy to record and process, either locally or on e-Health platforms. This fact may open a wide set of applications in the study of functional grading and monitoring neurodegenerative diseases. A relevant question, in this sense, is how far speech correlates and neuromotor actions are related. This preliminary study is intended to find answers to this question by using surface electromyographic recordings on the masseter and the acoustic kinematics related with the first formant. It is shown in the study that relevant correlations can be found among the surface electromyographic activity (dynamic muscle behavior) and the positions and first derivatives of the first formant (kinematic variables related to vertical velocity and acceleration of the joint jaw and tongue biomechanical system). As an application example, it is shown that the probability density function associated to these kinematic variables is more sensitive than classical features as Vowel Space Area (VSA) or Formant Centralization Ratio (FCR) in characterizing neuromotor degeneration in Parkinson’s Disease.

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  • Vowel Articulation Dynamic Stability Related to Parkinson’s Disease Rating Features: Male Dataset

    International Journal of Neural Systems

    Neurodegenerative pathologies as Parkinson’s Disease (PD) show important distortions in speech, affecting fluency, prosody, articulation and phonation. Classically, measurements based on articulation gestures altering formant positions, as the Vocal Space Area (VSA) or the Formant Centralization Ratio (FCR) have been proposed to measure speech distortion, but these markers are based mainly on static positions of sustained vowels. The present study introduces a measurement based on the mutual…

    Neurodegenerative pathologies as Parkinson’s Disease (PD) show important distortions in speech, affecting fluency, prosody, articulation and phonation. Classically, measurements based on articulation gestures altering formant positions, as the Vocal Space Area (VSA) or the Formant Centralization Ratio (FCR) have been proposed to measure speech distortion, but these markers are based mainly on static positions of sustained vowels. The present study introduces a measurement based on the mutual information distance among probability density functions of kinematic correlates derived from formant dynamics. An absolute kinematic velocity associated to the position of the jaw and tongue articulation gestures is estimated and modeled statistically. The distribution of this feature may differentiate PD patients from normative speakers during sustained vowel emission. The study is based on a limited database of 53 male PD patients, contrasted to a very selected and stable set of eight normative speakers. In this sense, distances based on Kullback–Leibler divergence seem to be sensitive to PD articulation instability. Correlation studies show statistically relevant relationship between information contents based on articulation instability to certain motor and nonmotor clinical scores, such as freezing of gait, or sleep disorders. Remarkably, one of the statistically relevant correlations point out to the time interval passed since the first diagnostic. These results stress the need of defining scoring scales specifically designed for speech disability estimation and monitoring methodologies in degenerative diseases of neuromotor origin.

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  • Fractional Derivatives of Online Handwriting: a New Approach of Parkinsonic Dysgraphia Analysis

    41st International Conference on Telecommunications and Signal Processing (TSP)

    Parkinson's disease (PD) is the second most frequent neurodegenerative disorder. One typical hallmark of PD is disruption in execution of practised skills such as handwriting. This paper introduces a new methodology of kinematic features calculation based on fractional derivatives applied on PD handwriting. Discrimination power of basic kinematic features (velocity, acceleration, jerk) was evaluated by classification analysis (using support vector machines and random forests). For this purpose,…

    Parkinson's disease (PD) is the second most frequent neurodegenerative disorder. One typical hallmark of PD is disruption in execution of practised skills such as handwriting. This paper introduces a new methodology of kinematic features calculation based on fractional derivatives applied on PD handwriting. Discrimination power of basic kinematic features (velocity, acceleration, jerk) was evaluated by classification analysis (using support vector machines and random forests). For this purpose, 30 PD patients and 36 healthy controls were enrolled. In comparison with results reported in other works, the newly designed features based on fractional derivatives increased classification accuracy by 8 % in univariate analysis and by 10 % when employing the multivariate one. This study reveals an impact of fractional derivatives based features in analysis of Parkinsonic dysgraphia.

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  • Monitoring Progress of Parkinson’s Disease Based on Changes in Phonation: a Pilot Study

    41st International Conference on Telecommunications and Signal Processing (TSP)

    Hypokinetic dysarthria (HD) is a frequent symptom of idiopathic Parkinson's disease (PD). Although it is hypothesized its progress is tightly linked with changes in other motor/non-motor features of PD, it has not been proved yet. The aim of this work is to employ acoustic analysis of sustained phonation in order to identify significant correlates between phonatory measures and motor/non-motor deficits in a two-year follow-up study. For this purpose, we repeatedly quantified a sustained…

    Hypokinetic dysarthria (HD) is a frequent symptom of idiopathic Parkinson's disease (PD). Although it is hypothesized its progress is tightly linked with changes in other motor/non-motor features of PD, it has not been proved yet. The aim of this work is to employ acoustic analysis of sustained phonation in order to identify significant correlates between phonatory measures and motor/non-motor deficits in a two-year follow-up study. For this purpose, we repeatedly quantified a sustained vowel/a/ in 51 PD patients who were also assessed by 5 common clinical scales. In addition, a multivariate regression model was trained to predict the motor/non-motor deficits in the horizon of two years. Results suggest that mainly instability in vocal folds oscillation increases with the progress of PD and with overall cognitive decline. Based on the acoustic analysis, the change in clinical scores could be predicted with the error in the range of 11.83-19.60 %.

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  • Quantitative Analysis of Relationship Between Hypokinetic Dysarthria and the Freezing of Gait in Parkinson’s Disease

    Cognitive Computation

    Hypokinetic dysarthria (HD) and freezing of gait (FOG) are both axial symptoms that occur in patients with Parkinson’s disease (PD). It is assumed they have some common pathophysiological mechanisms and therefore that speech disorders in PD can predict FOG deficits within the horizon of some years. The aim of this study is to employ a complex quantitative analysis of the phonation, articulation and prosody in PD patients in order to identify the relationship between HD and FOG, and establish a…

    Hypokinetic dysarthria (HD) and freezing of gait (FOG) are both axial symptoms that occur in patients with Parkinson’s disease (PD). It is assumed they have some common pathophysiological mechanisms and therefore that speech disorders in PD can predict FOG deficits within the horizon of some years. The aim of this study is to employ a complex quantitative analysis of the phonation, articulation and prosody in PD patients in order to identify the relationship between HD and FOG, and establish a mathematical model that would predict FOG deficits using acoustic analysis at baseline. We enrolled 75 PD patients who were assessed by 6 clinical scales including the Freezing of Gait Questionnaire (FOG–Q). We subsequently extracted 19 acoustic measures quantifying speech disorders in the fields of phonation, articulation and prosody. To identify the relationship between HD and FOG, we performed a partial correlation analysis. Finally, based on the selected acoustic measures, we trained regression models to predict the change in FOG during a 2-year follow-up. We identified significant correlations between FOG–Q scores and the acoustic measures based on formant frequencies (quantifying the movement of the tongue and jaw) and speech rate. Using the regression models, we were able to predict a change in particular FOG–Q scores with an error of between 7.4 and 17.0 %. This study is suggesting that FOG in patients with PD is mainly linked to improper articulation, a disturbed speech rate and to intelligibility. We have also proved that the acoustic analysis of HD at the baseline can be used as a predictor of the FOG deficit during 2 years of follow-up. This knowledge enables researchers to introduce new cognitive systems that predict gait difficulties in PD patients.

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  • Diagnosis of Developmental Dysgraphia Based on Quantitative Analysis of Online Handwriting

    Elektrorevue

    The prevalence of handwriting difficulties among school-aged children is around 10–30 %. Until now, there is no objective method to diagnose and rate developmental dysgraphia (DD) in Czech Republic. The goal of this study is to propose a new method of objective DD diagnosis based on quantitative analysis of online handwriting. For this purpose, we extracted a set of spatial, temporal, kinematic and dynamic features from three handwriting tasks. Consequently, we performed a correlation analysis…

    The prevalence of handwriting difficulties among school-aged children is around 10–30 %. Until now, there is no objective method to diagnose and rate developmental dysgraphia (DD) in Czech Republic. The goal of this study is to propose a new method of objective DD diagnosis based on quantitative analysis of online handwriting. For this purpose, we extracted a set of spatial, temporal, kinematic and dynamic features from three handwriting tasks. Consequently, we performed a correlation analysis between these features and score of handwriting proficiency screening questionnaire (HPSQ), in order to identify parameters with a good discrimination power. Using random forests classifier in combination with quantification of alphabet writing task, we reached nearly 80 % classification accuracy (77 % sensitivity, 83 % specificity). The classification accuracy was increased to 92 % (92 % sensitivity, 93 % specificity) by employing SFFS (Sequential Forward Feature Selection) method. This pilot study proves the possibility of automatic DD diagnosis in children cohort writing with cursive letters.

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  • Towards robust voice pathology detection

    Neural Computing and Applications

    Automatic objective non-invasive detection of pathological voice based on computerized analysis of acoustic signals can play an important role in early diagnosis, progression tracking, and even effective treatment of pathological voices. In search towards such a robust voice pathology detection system, we investigated three distinct classifiers within supervised learning and anomaly detection paradigms. We conducted a set of experiments using a variety of input data such as raw waveforms…

    Automatic objective non-invasive detection of pathological voice based on computerized analysis of acoustic signals can play an important role in early diagnosis, progression tracking, and even effective treatment of pathological voices. In search towards such a robust voice pathology detection system, we investigated three distinct classifiers within supervised learning and anomaly detection paradigms. We conducted a set of experiments using a variety of input data such as raw waveforms, spectrograms, mel-frequency cepstral coefficients (MFCC), and conventional acoustic (dysphonic) features (AF). In comparison with previously published works, this article is the first to utilize combination of four different databases comprising normophonic and pathological recordings of sustained phonation of the vowel /a/ unrestricted to a subset of vocal pathologies. Furthermore, to our best knowledge, this article is the first to explore gradient-boosted trees and deep learning for this application. The following best classification performances measured by F1 score on dedicated test set were achieved: XGBoost (0.733) using AF and MFCC, DenseNet (0.621) using MFCC, and Isolation Forest (0.610) using AF. Even though these results are of exploratory character, conducted experiments do show promising potential of gradient boosting and deep learning methods to robustly detect voice pathologies.

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  • Advances on Automatic Speech Analysis for Early Detection of Alzheimer Disease: A Non-linear Multi-task Approach

    Current Alzheimer Research

    OBJECTIVE:
    Nowadays proper detection of cognitive impairment has become a challenge for the scientific community. Alzheimer's Disease (AD), the most common cause of dementia, has a high prevalence that is increasing at a fast pace towards epidemic level. In the not-so-distant future this fact could have a dramatic social and economic impact. In this scenario, an early and accurate diagnosis of AD could help to decrease its effects on patients, relatives and society. Over the last decades…

    OBJECTIVE:
    Nowadays proper detection of cognitive impairment has become a challenge for the scientific community. Alzheimer's Disease (AD), the most common cause of dementia, has a high prevalence that is increasing at a fast pace towards epidemic level. In the not-so-distant future this fact could have a dramatic social and economic impact. In this scenario, an early and accurate diagnosis of AD could help to decrease its effects on patients, relatives and society. Over the last decades there have been useful advances not only in classic assessment techniques, but also in novel non-invasive screening methodologies.

    METHODS:
    Among these methods, automatic analysis of speech -one of the first damaged skills in AD patients- is a natural and useful low cost tool for diagnosis.

    RESULTS:
    In this paper a non-linear multi-task approach based on automatic speech analysis is presented. Three tasks with different language complexity levels are analyzed, and promising results that encourage a deeper assessment are obtained. Automatic classification was carried out by using classic Multilayer Perceptron (MLP) and Deep Learning by means of Convolutional Neural Networks (CNN) (biologically- inspired variants of MLPs) over the tasks with classic linear features, perceptual features, Castiglioni fractal dimension and Multiscale Permutation Entropy.

    CONCLUSION:
    Finally, the most relevant features are selected by means of the non-parametric Mann- Whitney U-test.

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  • Automatic voice analysis for dysphagia detection

    Speech, Language and Hearing

    Purpose: A videofluoroscopic analysis is the gold standard approach to determine whether a dysphagia problem exists. This procedure is invasive as it involves radiation but also provides the most direct physical evidence of swallowing problems. The main goal of this study was to evaluate an automatic tool based on voice analysis to support medical detection of dysphagia.

    Methods: An automatic voice analysis system has been developed. Prior to (basal) and immediately following (viscosity)…

    Purpose: A videofluoroscopic analysis is the gold standard approach to determine whether a dysphagia problem exists. This procedure is invasive as it involves radiation but also provides the most direct physical evidence of swallowing problems. The main goal of this study was to evaluate an automatic tool based on voice analysis to support medical detection of dysphagia.

    Methods: An automatic voice analysis system has been developed. Prior to (basal) and immediately following (viscosity) swallowing liquids of varying viscosity and volume, individuals with Parkinson Disease were required to produce the same test word. The acoustic features (linear and non-linear) of this word were then analyzed with regard to specific situations by standard and Machine Learning methods.

    Results: The results indicated a high degree of accuracy in detecting voice associated with basal and viscosity states.

    Conclusion: Thus, while the gold standard of dysphagia diagnosis continues to involve video-fluoroscopy analysis, the consideration of voice analysis may prove to be a far simpler and less invasive approach to diagnosis by advanced voice features.

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  • Effects of non-invasive brain stimulation of the superior temporal gyrus on motor speech disorder in Parkinson's disease

    European Journal of Neurology

    Background and aims: Hypokinetic dysarthria (HD) is a common symptom of Parkinson’s disease (PD) which does not respond well to PD treatments. We investigated short-term effects of repetitive transcranial magnetic stimulation (rTMS) on HD in PD using acoustic analysis of speech. The main objective was to identify an optimal rTMS protocol and stimulation site to improve specific symptoms of HD in PD.Methods: We used 10 Hz and 1 Hz stimulation protocols and applied rTMS over the right posterior…

    Background and aims: Hypokinetic dysarthria (HD) is a common symptom of Parkinson’s disease (PD) which does not respond well to PD treatments. We investigated short-term effects of repetitive transcranial magnetic stimulation (rTMS) on HD in PD using acoustic analysis of speech. The main objective was to identify an optimal rTMS protocol and stimulation site to improve specific symptoms of HD in PD.Methods: We used 10 Hz and 1 Hz stimulation protocols and applied rTMS over the right posterior superior temporal gyrus (STG), the left orofacial primary motor area (OFM1), and over the vertex (V, a control stimulation site) in 10 PD patients with mild to moderate HD and 4 age-matched healthy controls. Stimulation sites and protocols were randomised across subjects and sessions. A cross-over design was used. Acoustic analysis of a sentence reading task performed inside the MR scanner was used to evaluate rTMS-induced effects on motor speech. The study is ongoing and neural (fMRI) correlates of stimulation-induced changes will also be assessed.Results: The preliminary results show particularly effects (p<0.05 in Wilcoxon test) of 1 Hz rTMS of the STG on total pause time, std of the 2nd formant, std of the fundamental voice frequency, and speech index of rhythmicity in PD, while some effects of 10 Hz rTMS of the OFM1 were also observed. Conclusion: Preliminary results demonstrate for the first time that low-frequency stimulation of the right STG may improve articulation, rhythmicity, intonation and pausing of speech in PD with HD. The study is ongoing.

  • Monitoring Parkinson Disease from speech articulation kinematics

    Loquens

    Parkinson Disease (PD) is a neuromotor illness affecting general movements of different muscles, those implied in speech production being among them. The relevance of speech in monitoring illness progression has been documented in these last two decades. Most of the studies have concentrated in dysarthria and dysphonia induced by the syndrome. The present work is devoted to explore how PD affects the dynamic behavior of the speech neuromotor biomechanics (neuromechanics) involved in deficient…

    Parkinson Disease (PD) is a neuromotor illness affecting general movements of different muscles, those implied in speech production being among them. The relevance of speech in monitoring illness progression has been documented in these last two decades. Most of the studies have concentrated in dysarthria and dysphonia induced by the syndrome. The present work is devoted to explore how PD affects the dynamic behavior of the speech neuromotor biomechanics (neuromechanics) involved in deficient articulation (dysarthria), in contrast to classical measurements based on static features as extreme and central vowel triangle positions. A statistical distribution of the kinematic velocity of the lower jaw and tongue is introduced, which presents interesting properties regarding pattern recognition and classification. This function may be used to establish distances between different articulation profiles in terms of information theory. Results show that these distances are correlated with a set of tests currently used by neurologists in PD progress evaluation, and could be used in elaborating new speech testing protocols.

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  • Privacy of online handwriting biometrics related to biomedical analysis

    IET Digital Library

    Online handwritten signals analysis for biomedical applications has received lesser attention from the international scientific community than other biometric signals such as electroencephalogram (EEG), electrocardiogram (ECG), magnetic resonance imaging signals (MRI), speech, etc. However, handwritten signals are useful for biometric security applications, especially in the case of signature, but to support pathology diagnose/monitoring as well. Obviously, while utilising handwriting in one…

    Online handwritten signals analysis for biomedical applications has received lesser attention from the international scientific community than other biometric signals such as electroencephalogram (EEG), electrocardiogram (ECG), magnetic resonance imaging signals (MRI), speech, etc. However, handwritten signals are useful for biometric security applications, especially in the case of signature, but to support pathology diagnose/monitoring as well. Obviously, while utilising handwriting in one field, there are implications in the other one and privacy concerns can arise. A good example is a biometric security system that stores the whole biometric template. It is desirable to reduce the template to the relevant information required for security, removing those characteristics that can permit the identification of pathologies. In this paper, we summarize the main aspects of handwritten signals with special emphasis on medical applications (Alzheimer's disease, Parkinson's disease, mild cognitive impairment, essential tremor, depression, dysgraphia, etc.) and security. In addition, it is important to remark that health and security issues cannot be easily isolated, and an application in one field should take care of the other.

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  • Parkinson Disease Detection from Speech Articulation Neuromechanics

    Frontiers in Neuroinformatics

    The research described is intended to give a description of articulation dynamics as a correlate of the kinematic behavior of the jaw-tongue biomechanical system, encoded as a probability distribution of an absolute joint velocity. This distribution may be used in detecting and grading speech from patients affected by neurodegenerative illnesses, as Parkinson Disease.

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  • Assessing Freezing of Gait in Parkinson's Disease Using Analysis of Hypokinetic Dysarthria

    40th International Conference on Telecommunications and Signal Processing (TSP)

    Hypokinetic dysarthria (HD) and freezing of gait (FOG) are frequent symptoms of Parkinson's disease (PD). The aim of this work is to reveal pathological mechanisms common for HD and FOG, and use acoustic analysis of dysarthric speech to assess the gait difficulties in PD. We used a correlation analysis to investigate a relationship between speech features and FOG evaluated by freezing of gait questionnaire (FOG-Q). We found speech features quantifying reduced mobility of the articulatory organs…

    Hypokinetic dysarthria (HD) and freezing of gait (FOG) are frequent symptoms of Parkinson's disease (PD). The aim of this work is to reveal pathological mechanisms common for HD and FOG, and use acoustic analysis of dysarthric speech to assess the gait difficulties in PD. We used a correlation analysis to investigate a relationship between speech features and FOG evaluated by freezing of gait questionnaire (FOG-Q). We found speech features quantifying reduced mobility of the articulatory organs significantly correlated with all parts of the questionnaire. Next, we built multivariate regression models to estimate the FOG-Q total score. With this approach, mean estimation error rate of 14.71% was achieved. We confirmed the previous findings of a close relationship between HD and FOG in PD. Furthermore, we showed it is possible to accurately (with the error of approximately 0.5 points) estimate FOG-Q using a reasonable number of conventional speech features.

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  • Identification of Hypokinetic Dysarthria Using Acoustic Analysis of Poem Recitation

    40th International Conference on Telecommunications and Signal Processing (TSP)

    Up to 90% of patients with Parkinson's disease (PD) suffer from hypokinetic dysarthria (HD). In this work, we analysed the power of conventional speech features quantifying imprecise articulation, dysprosody, speech dysfluency and speech quality deterioration extracted from a specialized poem recitation task to discriminate dysarthric and healthy speech. For this purpose, 152 speakers (53 healthy speakers, 99 PD patients) were examined. Only mildly strong correlation between speech features and…

    Up to 90% of patients with Parkinson's disease (PD) suffer from hypokinetic dysarthria (HD). In this work, we analysed the power of conventional speech features quantifying imprecise articulation, dysprosody, speech dysfluency and speech quality deterioration extracted from a specialized poem recitation task to discriminate dysarthric and healthy speech. For this purpose, 152 speakers (53 healthy speakers, 99 PD patients) were examined. Only mildly strong correlation between speech features and clinical status of the speakers was observed. In case of univariate classification analysis, sensitivity of 62.63 % (imprecise articulation), 61.62% (dysprosody), 71.72% (speech dysfluency) and 59.60% (speech quality deterioration) was achieved. Multivariate classification analysis improved the classification performance. Sensitivity of 83.42% using only two features describing imprecise articulation and speech quality deterioration in HD was achieved. We showed the promising potential of the selected speech features and especially the use of poem recitation task to quantify and identify HD in PD.

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  • A Comparative Study of In-Air Trajectories at Short and Long Distances in Online Handwriting

    Cognitive Computation

    Existing literature about online handwriting analysis to support pathology diagnosis has taken advantage of in-air trajectories. A similar situation occurred in biometric security applications where the goal is to identify or verify an individual using his signature or handwriting. These studies do not consider the distance of the pen tip to the writing surface. This is due to the fact that current acquisition devices do not provide height formation. However, it is quite straightforward to…

    Existing literature about online handwriting analysis to support pathology diagnosis has taken advantage of in-air trajectories. A similar situation occurred in biometric security applications where the goal is to identify or verify an individual using his signature or handwriting. These studies do not consider the distance of the pen tip to the writing surface. This is due to the fact that current acquisition devices do not provide height formation. However, it is quite straightforward to differentiate movements at two different heights (a) short distance: height lower or equal to 1 cm above a surface of digitizer, the digitizer provides x and y coordinates; (b) long distance: height exceeding 1 cm, the only information available is a time stamp that indicates the time that a specific stroke has spent at long distance. Although short distance has been used in several papers, long distances have been ignored and will be investigated in this paper. In this paper, we will analyze a large set of databases (BIOSECUR-ID, EMOTHAW, PaHaW, OXYGEN-THERAPY, and SALT), which contain a total amount of 663 users and 17,951 files. We have specifically studied (a) the percentage of time spent on-surface, in-air at short distance, and in-air at long distance for different user profiles (pathological and healthy users) and different tasks; (b) the potential use of these signals to improve classification rates. Our experimental results reveal that long distance movements represent a very small portion of the total execution time (0.5% in the case of signatures and 10.4% for uppercase words of BIOSECUR-ID, which is the largest database). In addition, significant differences have been found in the comparison of pathological versus control group for letter “l” in PaHaW database (p = 0.0157) and crossed pentagons in SALT database (p = 0.0122).

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  • Voice Pathology Detection Using Deep Learning: a Preliminary Study

    2017 International Conference and Workshop on Bioinspired Intelligence (IWOBI)

    This paper describes a preliminary investigation of Voice Pathology Detection using Deep Neural Networks (DNN). We used voice recordings of sustained vowel /a/ produced at normal pitch from German corpus Saarbruecken Voice Database (SVD). This corpus contains voice recordings and electroglottograph signals of more than 2 000 speakers. The idea behind this experiment is the use of convolutional layers in combination with recurrent Long-Short-Term-Memory (LSTM) layers on raw audio signal. Each…

    This paper describes a preliminary investigation of Voice Pathology Detection using Deep Neural Networks (DNN). We used voice recordings of sustained vowel /a/ produced at normal pitch from German corpus Saarbruecken Voice Database (SVD). This corpus contains voice recordings and electroglottograph signals of more than 2 000 speakers. The idea behind this experiment is the use of convolutional layers in combination with recurrent Long-Short-Term-Memory (LSTM) layers on raw audio signal. Each recording was split into 64 ms Hamming windowed segments with 30 ms overlap. Our trained model achieved 71.36% accuracy with 65.04% sensitivity and 77.67% specificity on 206 validation files and 68.08% accuracy with 66.75% sensitivity and 77.89% specificity on 874 testing files. This is a promising result in favor of this approach because it is comparable to similar previously published experiment that used different methodology. Further investigation is needed to achieve the state-of-the-art results.

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  • Vowel Articulation Distortion in Parkinson’s Disease

    Biomedical Applications Based on Natural and Artificial Computing

    Neurodegenerative pathologies produce important distortions in speech. Parkinson’s Disease (PD) leaves marks in fluency, prosody, articulation and phonation. Certain measurements based in configurations of the articulation organs inferred from formant positions, as the Vocal Space Area (VSA) or the Formant Centralization Ratio (FCR) have been classically used in this sense, but these markers represent mainly the static positions of sustained vowels on the vowel triangle. The present study…

    Neurodegenerative pathologies produce important distortions in speech. Parkinson’s Disease (PD) leaves marks in fluency, prosody, articulation and phonation. Certain measurements based in configurations of the articulation organs inferred from formant positions, as the Vocal Space Area (VSA) or the Formant Centralization Ratio (FCR) have been classically used in this sense, but these markers represent mainly the static positions of sustained vowels on the vowel triangle. The present study proposes a measurement based on the mutual information contents of kinematic correlates derived from formant dynamics. An absolute kinematic velocity associated to the position of the articulation organs, involving the jaw and tongue is estimated and modelled statistically. The distribution of this feature is rather different in PD patients than in normative speakers when sustained vowels are considered. Therefore, articulation failures may be detected even in single sustained vowels. The study has processed a limited database of 40 female and 54 male PD patients, contrasted to a very selected and stable set of normative speakers. Distances based on Kullback-Leibler’s Divergence have shown to be sensitive to PD articulation instability. Correlation measurements show that the distance proposed shows statistically relevant relationship with certain motor and non-motor behavioral observations, as freezing of gait, or sleep disorders. These results point out to the need of defining scoring scales specifically designed for speech-based diagnose and monitoring methodologies in degenerative diseases of neuromotor origin.

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  • Speech disorders in Parkinson's disease: early diagnostics and effects of medication and brain stimulation

    Journal of Neural Transmission

    Hypokinetic dysarthria (HD) occurs in 90% of Parkinson’s disease (PD) patients. It manifests specifically in the areas of articulation, phonation, prosody, speech fluency, and faciokinesis. We aimed to systematically review papers on HD in PD with a special focus on (1) early PD diagnosis and monitoring of the disease progression using acoustic voice and speech analysis, and (2) functional imaging studies exploring neural correlates of HD in PD, and (3) clinical studies using acoustic analysis…

    Hypokinetic dysarthria (HD) occurs in 90% of Parkinson’s disease (PD) patients. It manifests specifically in the areas of articulation, phonation, prosody, speech fluency, and faciokinesis. We aimed to systematically review papers on HD in PD with a special focus on (1) early PD diagnosis and monitoring of the disease progression using acoustic voice and speech analysis, and (2) functional imaging studies exploring neural correlates of HD in PD, and (3) clinical studies using acoustic analysis to evaluate effects of dopaminergic medication and brain stimulation. A systematic literature search of articles written in English before March 2016 was conducted in the Web of Science, PubMed, SpringerLink, and IEEE Xplore databases using and combining specific relevant keywords. Articles were categorized into three groups: (1) articles focused on neural correlates of HD in PD using functional imaging (n = 13); (2) articles dealing with the acoustic analysis of HD in PD (n = 52); and (3) articles concerning specifically dopaminergic and brain stimulation-related effects as assessed by acoustic analysis (n = 31); the groups were then reviewed. We identified 14 combinations of speech tasks and acoustic features that can be recommended for use in describing the main features of HD in PD. While only a few acoustic parameters correlate with limb motor symptoms and can be partially relieved by dopaminergic medication, HD in PD seems to be mainly related to non-dopaminergic deficits and associated particularly with non-motor symptoms. Future studies should combine non-invasive brain stimulation with voice behavior approaches to achieve the best treatment effects by enhancing auditory-motor integration.

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  • Identification and Rating of Developmental Dysgraphia by Handwriting Analysis

    IEEE Transactions on Human-Machine Systems

    Developmental dysgraphia, being observed among 10–30% of school-aged children, is a disturbance or difficulty in the production of written language that has to do with the mechanics of writing. The objective of this study is to propose a method that can be used for automated diagnosis of this disorder, as well as for estimation of difficulty level as determined by the handwriting proficiency screening questionnaire. We used a digitizing tablet to acquire handwriting and consequently employed a…

    Developmental dysgraphia, being observed among 10–30% of school-aged children, is a disturbance or difficulty in the production of written language that has to do with the mechanics of writing. The objective of this study is to propose a method that can be used for automated diagnosis of this disorder, as well as for estimation of difficulty level as determined by the handwriting proficiency screening questionnaire. We used a digitizing tablet to acquire handwriting and consequently employed a complex parameterization in order to quantify its kinematic aspects and hidden complexities. We also introduced a simple intrawriter normalization that increased dysgraphia discrimination and HPSQ estimation accuracies. Using a random forest classifier, we reached 96% sensitivity and specificity, while in the case of automated rating by the HPSQ total score, we reached 10% estimation error. This study proves that digital parameterization of pressure and altitude/tilt patterns in children with dysgraphia can be used for preliminary diagnosis of this writing disorder.

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  • Degree of Parkinson's disease severity estimation based on speech signal processing

    39th International Conference on Telecommunications and Signal Processing (TSP)

    This paper deals with Parkinson's disease (PD) severity estimation according to the Unified Parkinson's Disease Rating Scale: motor subscale (UPDRS III), which quantifies the hallmark symptoms of PD, using an acoustic analysis of speech signals. Experimental dataset comprised 42 speech tasks acquired from 50 PD patients (UPDRS in ranged from 6 to 92). It was divided into subsets: words, sentences, reading text, monologue and diadochokinetic tasks. We performed a parametrization of the whole…

    This paper deals with Parkinson's disease (PD) severity estimation according to the Unified Parkinson's Disease Rating Scale: motor subscale (UPDRS III), which quantifies the hallmark symptoms of PD, using an acoustic analysis of speech signals. Experimental dataset comprised 42 speech tasks acquired from 50 PD patients (UPDRS in ranged from 6 to 92). It was divided into subsets: words, sentences, reading text, monologue and diadochokinetic tasks. We performed a parametrization of the whole corpus and these groups separately using a wide range of conventional and novel speech features. We used guided regularized random forest algorithm to select features with maximum clinical information and performed random forests regression to estimate PD severity. According to significant correlations between true UPDRS in scores and scores predicted by the proposed methodology it was shown that information extracted through variety of speech tasks can be used to estimate the degree of PD severity.

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  • Advances in a Multimodal Approach for Dysphagia Analysis Based on Automatic Voice Analysis

    Springer International Publishing

    Parkinson’s disease (PD) is the second most frequent neurodegenerative disease with prevalence among general population reaching 0.1–1 %, and an annual incidence between 1.3–2.0/10,000 inhabitants. The most obvious symptoms are movement-related such as tremor, rigidity, slowness of movement and walking difficulties and frequently these are the symptoms that lead to the PD diagnoses but also they could have In this sense voice analysis is a safe, non-invasive, and reliable screening procedure…

    Parkinson’s disease (PD) is the second most frequent neurodegenerative disease with prevalence among general population reaching 0.1–1 %, and an annual incidence between 1.3–2.0/10,000 inhabitants. The most obvious symptoms are movement-related such as tremor, rigidity, slowness of movement and walking difficulties and frequently these are the symptoms that lead to the PD diagnoses but also they could have In this sense voice analysis is a safe, non-invasive, and reliable screening procedure for PD patients with dysphagia, which could detect patients at high risk of clinically significant aspiration. In this paper we will present a part of an ongoing project that will evaluate automatic speech analysis based on linear and non-linear features. These can be reliable predictors/indicators of swallowing and balance impairments in PD. An important advantage of voice analysis is its low intrusiveness and easy implementation in clinical practice. Thus, if a significant correlation between these simple analyses and the gold standard video-fluoroscopic analysis will imply simpler and less stressing diagnostic test for the patients as well as the use of cheaper analysis systems.

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  • Speech prosody impairment predicts cognitive decline in Parkinson's disease

    Parkinsonism & Related Disorders

    Background
    Impairment of speech prosody is characteristic for Parkinson's disease (PD) and does not respond well to dopaminergic treatment.

    Objectives
    We assessed whether baseline acoustic parameters, alone or in combination with other predominantly non-dopaminergic symptoms may predict global cognitive decline as measured by the Addenbrooke's cognitive examination (ACE-R) and/or worsening of cognitive status as assessed by a detailed neuropsychological…

    Background
    Impairment of speech prosody is characteristic for Parkinson's disease (PD) and does not respond well to dopaminergic treatment.

    Objectives
    We assessed whether baseline acoustic parameters, alone or in combination with other predominantly non-dopaminergic symptoms may predict global cognitive decline as measured by the Addenbrooke's cognitive examination (ACE-R) and/or worsening of cognitive status as assessed by a detailed neuropsychological examination.

    Methods
    Forty-four consecutive non-depressed PD patients underwent clinical and cognitive testing, and acoustic voice analysis at baseline and at the two-year follow-up. Influence of speech and other clinical parameters on worsening of the ACE-R and of the cognitive status was analyzed using linear and logistic regression.

    Results
    The cognitive status (classified as normal cognition, mild cognitive impairment and dementia) deteriorated in 25% of patients during the follow-up. The multivariate linear regression model consisted of the variation in range of the fundamental voice frequency (F0VR) and the REM Sleep Behavioral Disorder Screening Questionnaire (RBDSQ). These parameters explained 37.2% of the variability of the change in ACE-R. The most significant predictors in the univariate logistic regression were the speech index of rhythmicity (SPIR; p = 0.012), disease duration (p = 0.019), and the RBDSQ (p = 0.032). The multivariate regression analysis revealed that SPIR alone led to 73.2% accuracy in predicting a change in cognitive status. Combining SPIR with RBDSQ improved the prediction accuracy of SPIR alone by 7.3%.

    Conclusions
    Impairment of speech prosody together with symptoms of RBD predicted rapid cognitive decline and worsening of PD cognitive status during a two-year period.

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  • Prosodic Analysis of Neutral, Stress-modified and Rhymed Speech in Patients with Parkinson's Disease

    Computer Methods and Programs in Biomedicine

    Hypokinetic dysarthria (HD) is a frequent speech disorder associated with idiopathic Parkinson's disease (PD). It affects all dimensions of speech production. One of the most common features of HD is dysprosody that is characterized by alterations of rhythm and speech rate, flat speech melody, and impairment of speech intensity control. Dysprosody has a detrimental impact on speech naturalness and intelligibility.

    This paper deals with quantitative prosodic analysis of neutral…

    Hypokinetic dysarthria (HD) is a frequent speech disorder associated with idiopathic Parkinson's disease (PD). It affects all dimensions of speech production. One of the most common features of HD is dysprosody that is characterized by alterations of rhythm and speech rate, flat speech melody, and impairment of speech intensity control. Dysprosody has a detrimental impact on speech naturalness and intelligibility.

    This paper deals with quantitative prosodic analysis of neutral, stress-modified and rhymed speech in patients with PD. The analysis of prosody is based on quantification of monopitch, monoloudness, and speech rate abnormalities. Experimental dataset consists of 98 patients with PD and 51 healthy speakers. For the purpose of HD identification, sequential floating feature selection algorithm and random forests classifier is used. In this paper, we also introduce a concept of permutation test applied in the field of acoustic analysis of dysarthric speech.

    Prosodic features obtained from stress-modified reading task provided higher classification accuracies compared to the ones extracted from reading task with neutral emotion demonstrating the importance of stress in speech prosody. Features calculated from poem recitation task outperformed both reading tasks in the case of gender-undifferentiated analysis showing that rhythmical demands can in general lead to more precise identification of HD. Additionally, some gender-related patterns of dysprosody has been observed.

    This paper confirms reduced variation of fundamental frequency in PD patients with HD. Interestingly, increased variability of speech intensity compared to healthy speakers has been detected. Regarding speech rate disturbances, our results does not report any particular pattern. We conclude further development of prosodic features quantifying the relationship between monopitch, monoloudness and speech rate disruptions in HD can have a great potential in future PD analysis.

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  • Evaluation of handwriting kinematics and pressure for differential diagnosis of Parkinson's disease

    Artificial intelligence in medicine

    Objective:
    We present the PaHaW Parkinson's disease handwriting database, consisting of handwriting samples from Parkinson's disease (PD) patients and healthy controls. Our goal is to show that kinematic features and pressure features in handwriting can be used for the differential diagnosis of PD.

    Methods and material:
    The database contains records from 37 PD patients and 38 healthy controls performing eight different handwriting tasks. The tasks include drawing an Archimedean…

    Objective:
    We present the PaHaW Parkinson's disease handwriting database, consisting of handwriting samples from Parkinson's disease (PD) patients and healthy controls. Our goal is to show that kinematic features and pressure features in handwriting can be used for the differential diagnosis of PD.

    Methods and material:
    The database contains records from 37 PD patients and 38 healthy controls performing eight different handwriting tasks. The tasks include drawing an Archimedean spiral, repetitively writing orthographically simple syllables and words, and writing of a sentence. In addition to the conventional kinematic features related to the dynamics of handwriting, we investigated new pressure features based on the pressure exerted on the writing surface. To discriminate between PD patients and healthy subjects, three different classifiers were compared: K-nearest neighbors (K-NN), ensemble AdaBoost classifier, and support vector machines (SVM).

    Results:
    For predicting PD based on kinematic and pressure features of handwriting, the best performing model was SVM with classification accuracy of Pacc=81.3% (sensitivity Psen=87.4% and specificity of Pspe=80.9%). When evaluated separately, pressure features proved to be relevant for PD diagnosis, yielding Pacc=82.5% compared to Pacc=75.4% using kinematic features.

    Conclusion:
    Experimental results showed that an analysis of kinematic and pressure features during handwriting can help assess subtle characteristics of handwriting and discriminate between PD patients and healthy controls.

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  • Perceptual Features as Markers of Parkinson’s Disease: The Issue of Clinical Interpretability

    Recent Advances in Nonlinear Speech Processing

    Up to 90 % of patients with Parkinson’s disease (PD) suffer from hypokinetic dysathria (HD) which is also manifested in the field of phonation. Clinical signs of HD like monoloudness, monopitch or hoarse voice are usually quantified by conventional clinical interpretable features (jitter, shimmer, harmonic-to-noise ratio, etc.). This paper provides large and robust insight into perceptual analysis of 5 Czech vowels of 84 PD patients and proves that despite the clinical inexplicability the…

    Up to 90 % of patients with Parkinson’s disease (PD) suffer from hypokinetic dysathria (HD) which is also manifested in the field of phonation. Clinical signs of HD like monoloudness, monopitch or hoarse voice are usually quantified by conventional clinical interpretable features (jitter, shimmer, harmonic-to-noise ratio, etc.). This paper provides large and robust insight into perceptual analysis of 5 Czech vowels of 84 PD patients and proves that despite the clinical inexplicability the perceptual features outperform the conventional ones, especially in terms of discrimination power (classification accuracy ACC=92 %, sensitivity SEN=93 %, specificity SPE=92 %) and partial correlation with clinical scores like UPDRS (Unified Parkinson’s disease rating scale), MMSE (Mini-mental state examination) or FOG (Freezing of gait questionnaire), where p<0.0001.

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  • Impact of Parkinson's disease and levodopa on resting state functional connectivity related to speech prosody control

    Parkinsonism & Related Disorders

    Background

    Impaired speech prosody is common in Parkinson's disease (PD). We assessed the impact of PD and levodopa on MRI resting-state functional connectivity (rs-FC) underlying speech prosody control.

    Methods

    We studied 19 PD patients in the OFF and ON dopaminergic conditions and 15 age-matched healthy controls using functional MRI and seed partial least squares correlation (PLSC) analysis. In the PD group, we also correlated levodopa-induced rs-FC changes with the…

    Background

    Impaired speech prosody is common in Parkinson's disease (PD). We assessed the impact of PD and levodopa on MRI resting-state functional connectivity (rs-FC) underlying speech prosody control.

    Methods

    We studied 19 PD patients in the OFF and ON dopaminergic conditions and 15 age-matched healthy controls using functional MRI and seed partial least squares correlation (PLSC) analysis. In the PD group, we also correlated levodopa-induced rs-FC changes with the results of acoustic analysis.

    Results

    The PLCS analysis revealed a significant impact of PD but not of medication on the rs-FC strength of spatial correlation maps seeded by the anterior cingulate (p = 0.006), the right orofacial primary sensorimotor cortex (OF_SM1; p = 0.025) and the right caudate head (CN; p = 0.047). In the PD group, levodopa-induced changes in the CN and OF_SM1 connectivity strengths were related to changes in speech prosody.

    Conclusions

    We demonstrated an impact of PD but not of levodopa on rs-FC within the brain networks related to speech prosody control. When only the PD patients were taken into account, the association between treatment-induced changes in speech prosody and changes in rs-FC within the associative striato-prefrontal and motor speech networks was found.

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    • Nela Elfmarkova
    • Martin Gajdos
    • Martina Mrackova
    • Michal Mikl
    • Irena Rektorova
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  • Robust and Complex Approach of Pathological Speech Signal Analysis

    Neurocomputing

    This paper presents a study of the approaches in the state-of-the-art in the field of pathological speech signal analysis with a special focus on parametrization techniques. It provides a description of 92 speech features where some of them are already widely used in this field of science and some of them have not been tried yet (they come from different areas of speech signal processing like speech recognition or coding). As an original contribution, this work introduces 36 completely new…

    This paper presents a study of the approaches in the state-of-the-art in the field of pathological speech signal analysis with a special focus on parametrization techniques. It provides a description of 92 speech features where some of them are already widely used in this field of science and some of them have not been tried yet (they come from different areas of speech signal processing like speech recognition or coding). As an original contribution, this work introduces 36 completely new pathological voice measures based on modulation spectra, inferior colliculus coefficients, bicepstrum, sample and approximate entropy and empirical mode decomposition. The significance of these features was tested on 3 (English, Spanish and Czech) pathological voice databases with respect to classification accuracy, sensitivity and specificity. To our best knowledge the introduced approach based on complex feature extraction and robust testing outperformed all works that have been published already in this field. The results (accuracy, sensitivity and specificity equal to 100.0±0.0%) are discussable in the case of Massachusetts Eye and Ear Infirmary (MEEI) database because of its limitation related to a length of sustained vowels, however in the case of Príncipe de Asturias (PdA) Hospital in Alcalá de Henares of Madrid database we made improvements in classification accuracy (82.1±3.3%) and specificity (83.8±5.1%) when considering a single-classifier approach. Hopefully, large improvements may be achieved in the case of Czech Parkinsonian Speech Database (PARCZ), which are discussed in this work as well. All the features introduced in this work were identified by Mann–Whitney U test as significant (p<0.05) when processing at least one of the mentioned databases. The paper also mentions some ideas for the future work in the field of pathological speech signal analysis that can be valuable especially under the clinical point of view.

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  • Analysis of phonation in patients with Parkinson's disease using empirical mode decomposition

    Signals, Circuits and Systems (ISSCS), 2015 International Symposium on

    This paper deals with an acoustic analysis of hypokinetic dysarthria in patients with Parkinson's disease (PD). The analysis is based on parametrization of five basic Czech vowels using conventional features and parameters based on empirical mode decomposition (EMD). Experimental dataset consists of 84 PD patients with different disease progress and 49 healthy controls. From the single-vowel-analysis point of view we observed that sustained vowels pronounced with minimum intensity (not…

    This paper deals with an acoustic analysis of hypokinetic dysarthria in patients with Parkinson's disease (PD). The analysis is based on parametrization of five basic Czech vowels using conventional features and parameters based on empirical mode decomposition (EMD). Experimental dataset consists of 84 PD patients with different disease progress and 49 healthy controls. From the single-vowel-analysis point of view we observed that sustained vowels pronounced with minimum intensity (not whispering) outperformed the other vowels'​ realization (including the most popular sustained vowel [a] pronounced with normal intensity). Then we employed a classification along with feature selection and again obtained the best results in the case of silent sustained vowels (accuracy ACC = 84 %, sensitivity SEN = 86% and specificity SPE = 82 %). Finally we considered classification of PD using different vowels' realization and reached accuracy = 94 %, sensitivity = 96% and specificity = 90 %. Features based on EMD significantly improved the results.

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  • Assessing progress of Parkinson's disease using acoustic analysis of phonation

    Bioinspired Intelligence (IWOBI), 2015 4th International Work Conference on

    This paper deals with a complex acoustic analysis of phonation in patients with Parkinson's disease (PD) with a special focus on estimation of disease progress that is described by 7 different clinical scales (e. g. Unified Parkinson's disease rating scale or Beck depression inventory). The analysis is based on parametrization of 5 Czech vowels pronounced by 84 PD patients. Using classification and regression trees we estimated all clinical scores with maximal error lower or equal to 13 %. Best…

    This paper deals with a complex acoustic analysis of phonation in patients with Parkinson's disease (PD) with a special focus on estimation of disease progress that is described by 7 different clinical scales (e. g. Unified Parkinson's disease rating scale or Beck depression inventory). The analysis is based on parametrization of 5 Czech vowels pronounced by 84 PD patients. Using classification and regression trees we estimated all clinical scores with maximal error lower or equal to 13 %. Best estimation was observed in the case of Mini-mental state examination (MAE = 0.77, estimation error 5.50 %). Finally, we proposed a binary classification based on random forests that is able to identify Parkinson's disease with sensitivity SEN = 92.86% (SPE = 85.71 %). The parametrization process was based on extraction of 107 speech features quantifying different clinical signs of hypokinetic dysarthria present in PD.

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  • Contribution of different handwriting modalities to differential diagnosis of Parkinson's Disease

    Medical Measurements and Applications (MeMeA), 2015 IEEE International Symposium on

    In this paper, we evaluate the contribution of different handwriting modalities to the diagnosis of Parkinson's disease. We analyse on-surface movement, in-air movement and pressure exerted on the tablet surface. Especially in-air movement and pressure-based features have been rarely taken into account in previous studies. We show that pressure and in-air movement also possess information that is relevant for the diagnosis of Parkinson's Disease (PD) from handwriting. In addition to the…

    In this paper, we evaluate the contribution of different handwriting modalities to the diagnosis of Parkinson's disease. We analyse on-surface movement, in-air movement and pressure exerted on the tablet surface. Especially in-air movement and pressure-based features have been rarely taken into account in previous studies. We show that pressure and in-air movement also possess information that is relevant for the diagnosis of Parkinson's Disease (PD) from handwriting. In addition to the conventional kinematic and spatio-temporal features, we present a group of the novel features based on entropy and empirical mode decomposition of the handwriting signal. The presented results indicate that handwriting can be used as biomarker for PD providing classification performance around 89% area under the ROC curve (AUC) for PD classification.

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  • A Multimodal Approach for Parkinson Disease Analysis

    Advances in Neural Networks: Computational and Theoretical Issues

    Parkinson’s disease (PD) is the second most frequent neurodegenerative disease with prevalence among general population reaching 0.1-1 %, and an annual incidence between 1.3-2.0/10000 inhabitants. The mean age at diagnosis of PD is 55 and most patients are between 50 and 80 years old. The most obvious symptoms are movement-related; these include tremor, rigidity, slowness of movement and walking difficulties. Frequently these are the symptoms that lead to the PD diagnoses. Later, thinking and…

    Parkinson’s disease (PD) is the second most frequent neurodegenerative disease with prevalence among general population reaching 0.1-1 %, and an annual incidence between 1.3-2.0/10000 inhabitants. The mean age at diagnosis of PD is 55 and most patients are between 50 and 80 years old. The most obvious symptoms are movement-related; these include tremor, rigidity, slowness of movement and walking difficulties. Frequently these are the symptoms that lead to the PD diagnoses. Later, thinking and behavioral problems may arise, and other symptoms include cognitive impairment and sensory, sleep and emotional problems. In this paper we will present an ongoing project that will evaluate if voice and handwriting analysis can be reliable predictors/indicators of swallowing and balance impairments in PD. An important advantage of voice and handwritten analysis is its low intrusiveness and easy implementation in clinical practice. Thus, if a significant correlation between these simple analyses and the gold standard video-fluoroscopic analysis will imply simpler and less stressing diagnostic test for the patients as well as the use of cheaper analysis systems.

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  • Decision support framework for Parkinson's disease based on novel handwriting markers

    IEEE Transactions on Neural Systems and Rehabilitation Engineering

    Parkinson’s disease (PD) is a neurodegenerative disorder which impairs motor skills, speech, and other functions such as behavior, mood, and cognitive processes. One of the most typical clinical hallmarks of PD is handwriting deterioration, usually the first manifestation of PD. The aim of this study is twofold: (a) to find a subset of handwriting features suitable for identifying subjects with PD and (b) to build a predictive model to efficiently diagnose PD. We collected handwriting samples…

    Parkinson’s disease (PD) is a neurodegenerative disorder which impairs motor skills, speech, and other functions such as behavior, mood, and cognitive processes. One of the most typical clinical hallmarks of PD is handwriting deterioration, usually the first manifestation of PD. The aim of this study is twofold: (a) to find a subset of handwriting features suitable for identifying subjects with PD and (b) to build a predictive model to efficiently diagnose PD. We collected handwriting samples from 37 medicated PD patients and 38 age- and sex- matched controls. The handwriting samples were collected during seven tasks such as writing a syllable, word, or sentence. Every sample was used to extract the handwriting measures. In addition to conventional kinematic and spatio-temporal handwriting measures, we also computed novel handwriting measures based on entropy, signal energy, and empirical mode decomposition of the handwriting signals. The selected features were fed to the support vector machine classifier with radial Gaussian kernel for automated diagnosis. The accuracy of the classification of PD was as high as 88:13%, with the highest values of sensitivity and specificity equal to 89.47% and 91.89%, respectively. Handwriting may be a valuable marker as a diagnostic and screening tool.

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  • Analysis of in-air movement in handwriting: A novel marker for Parkinson's disease

    Computer Methods and Programs in Biomedicine

    Background and objective
    Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which…

    Background and objective
    Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis.

    Methods
    We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls.

    Results
    By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy.

    Conclusions
    Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD.

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  • Assessing Handwriting in Patients with Parkinson's Disease

    Czech and Slovak Neurology and Neurosurgery

    Aim:
    The aim of this study was to assess micrographia in patients with Parkinson’s disease (PD) as compared to healthy controls (HC) using a digitizing tablet.
    Methods:
    We included 40 PD (mean 68.6 ± 11.36 years, duration of illness 8.02 ± 4.79 years) and 40 age- and sex-matched HC (mean 62.55 ± 11. 22 years). All subjects were right-handed, without the presence of depression or dementia. Each subject underwent seven exercises for writing and drawing of Archimedes spiral and ellipses…

    Aim:
    The aim of this study was to assess micrographia in patients with Parkinson’s disease (PD) as compared to healthy controls (HC) using a digitizing tablet.
    Methods:
    We included 40 PD (mean 68.6 ± 11.36 years, duration of illness 8.02 ± 4.79 years) and 40 age- and sex-matched HC (mean 62.55 ± 11. 22 years). All subjects were right-handed, without the presence of depression or dementia. Each subject underwent seven exercises for writing and drawing of Archimedes spiral and ellipses using a digitizing tablet. The speed parameters of micrographia and drawing during the movement of a pen in the air and on the tablet were evaluated. The Mann-Whitney U test, Spearman correlation and Benjamini-Hochbergs method were used for statistical data analysis.
    Results:
    A statistically significant reduction in parameters of velocity, acceleration, and jerk was found when comparing both groups during writing. Changes were more pronounced with increased length of the written segment. The differences between the two groups were more pronounced when the in-air movements were assessed, i.e. during movement preparation. The values decreased up to 20% compared to HC.
    Conclusion:
    PD-specific changes assessed with a digitizing tablet were demonstrated not only during writing but also during preparation for writing. The results of the study may have a direct clinical impact: further research into its use as a clinical marker of early PD is likely to follow.

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  • Prediction potential of different handwriting tasks for diagnosis of Parkinson's

    E-Health and Bioengineering Conference (EHB)

    One of the most frequent clinical hallmarks of Parkinson's disease (PD) is micrographia. Micrographia in PD is characterized by the decreased letter size and by changes in the kinematic aspects including increased movement time, decreased velocities and accelerations, and increased number of changes in velocity and acceleration. Based on the literature survey we proposed template to acquire handwriting during different tasks. In addition to well established tasks for PD diagnosis such as…

    One of the most frequent clinical hallmarks of Parkinson's disease (PD) is micrographia. Micrographia in PD is characterized by the decreased letter size and by changes in the kinematic aspects including increased movement time, decreased velocities and accelerations, and increased number of changes in velocity and acceleration. Based on the literature survey we proposed template to acquire handwriting during different tasks. In addition to well established tasks for PD diagnosis such as Archimedean spiral, we designed new tasks to acquire all aspects of micrographia. The database consists of eight different handwriting samples from seventy-five subjects. The presented results shows almost 80% overall classification accuracy.

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  • A new modality for quantitative evaluation of Parkinson's disease: In-air movement

    2013 IEEE 13th International Conference on Bioinformatics and Bioengineering (BIBE)

    Parkinsons disease (PD) is neurodegenerative disorder with very high prevalence rate occurring mainly among elderly. One of the most typical symptoms of PD is deterioration of handwriting that is usually the first manifestation of Parkinsons disease. In this study, a new modality - in-air trajectory during handwriting - is proposed to efficiently diagnose PD. Experimental results showed that analysis of in-air trajectories is capable of assessing subtle motor abnormalities that are connected…

    Parkinsons disease (PD) is neurodegenerative disorder with very high prevalence rate occurring mainly among elderly. One of the most typical symptoms of PD is deterioration of handwriting that is usually the first manifestation of Parkinsons disease. In this study, a new modality - in-air trajectory during handwriting - is proposed to efficiently diagnose PD. Experimental results showed that analysis of in-air trajectories is capable of assessing subtle motor abnormalities that are connected with PD. Moreover, conjunction of in-air trajectories with conventional on-surface handwriting allows us to build predictive model with PD classification accuracy over 80%. In total, we compute over 600 handwriting features. Then, we select smaller subset of these features using two feature selection algorithms: Mann-Whitney U-test filter and relief algorithm, and map these feature subsets to binary classification response using support vector machines.

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  • A New Hand Image Database Simultaneously Acquired in Visible, Near-Infrared and Thermal Spectrums

    Cognitive Computation

    In this paper, we present a new hand database called Tecnocampus Hand Image Database that includes right hand, palm and dorsal images. All the images have been acquired with three different sensors (visible, near-infrared and thermal). This database consists of 100 people acquired in five different acquisition sessions, two images per session and palm/dorsal sides. The total amount of pictures is 6.000, and it is mainly developed for hand image biometric recognition purposes. In addition, the…

    In this paper, we present a new hand database called Tecnocampus Hand Image Database that includes right hand, palm and dorsal images. All the images have been acquired with three different sensors (visible, near-infrared and thermal). This database consists of 100 people acquired in five different acquisition sessions, two images per session and palm/dorsal sides. The total amount of pictures is 6.000, and it is mainly developed for hand image biometric recognition purposes. In addition, the database has been studied from the information theory point of view, and we found that this highest level of information is achieved in thermal spectrum. Furthermore, a low level of mutual information between different spectrums is also demonstrated. This opens an interesting research field in multi-sensor data fusion.

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  • CARL: Base de datos de caras multiespectral adquirida en el Tecnocampus

    VII Jornadas de Reconocimiento Biométrico de Personas

    En este artículo describimos una nueva bases de datos facial multiespectral adquirida en nuestro grupo. Las principales características son: 4 sesiones de adquisición, 41 usuarios, diferentes condiciones de iluminación y adquisición visible, térmica e infraroja cercana. Está disponible de forma gratuita para los grupos de investigación que lo soliciten.

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  • Analysis of neurological disorders based on digital processing of speech and handwritten text

    Signals, Circuits and Systems (ISSCS), 2013 International Symposium on

    The paper deals with the methods of non-invasive analysis of neurological disorders, focusing on speech signal processing and processing of handwritten text. The paper describes the whole procedure of the automated analysis of the disorder while the greatest attention is paid to a parameterization. In the case of speech signal analysis, the state-of-the-art features evaluating a presence of hoarseness, breathiness and hypernasality are mentioned. Nonlinear dynamic parameters and parameters…

    The paper deals with the methods of non-invasive analysis of neurological disorders, focusing on speech signal processing and processing of handwritten text. The paper describes the whole procedure of the automated analysis of the disorder while the greatest attention is paid to a parameterization. In the case of speech signal analysis, the state-of-the-art features evaluating a presence of hoarseness, breathiness and hypernasality are mentioned. Nonlinear dynamic parameters and parameters derived from the empirical mode decomposition (EMD) are compared. Based on the tests, from the point of description of a noise component of signal, the best results were obtained using the approximation entropy, the largest Lyapunov exponent and parameters based on Teager-Kaiser energy operator, which is calculated from the first intrinsic mode function (IMF). In the case of handwritten text analysis, the most used exercises describing a tremor and movement dynamics are mentioned. The new approaches of hand movement analysis at a time when the pen tip does not touch the paper have been also proposed. Finally the paper discusses different applications of speech signal and handwriting text parameterization.

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  • Thermal hand image segmentation for biometric recognition

    Aerospace and Electronic Systems Magazine, IEEE

    We have seen how to avoid the cold finger areas in order to get a better segmented TH image. These approaches are only necessary when temperatures from the finger are close to the surface. Once the TH image is well segmented we have observed different performance.

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  • Diagnostika narušené komunikační schopnosti u dospělých: Diagnostika dysartrie

    Portál

    Publikace se věnuje diagnostice nejčastějších druhů narušené komunikační schopnosti, se kterými se profesionálové, především z řad logopedů, setkávají u dospělých. V úvodních kapitolách je vymezen fenomén narušená komunikační schopnost a specifika jejího diagnostikování. Každý druh narušené komunikační schopnosti je nejprve prezentován v jeho základní charakteristice (vymezení, incidence, prevalence, etiologie, klasifikace); navazují specifika diagnostikování, popis konkrétních diagnostických…

    Publikace se věnuje diagnostice nejčastějších druhů narušené komunikační schopnosti, se kterými se profesionálové, především z řad logopedů, setkávají u dospělých. V úvodních kapitolách je vymezen fenomén narušená komunikační schopnost a specifika jejího diagnostikování. Každý druh narušené komunikační schopnosti je nejprve prezentován v jeho základní charakteristice (vymezení, incidence, prevalence, etiologie, klasifikace); navazují specifika diagnostikování, popis konkrétních diagnostických metod a technik používaných u nás a v zahraničí a nakonec doporučení pro praxi s přehledem nejdůležitější související odborné literatury. Kniha je určena pro logopedy, neurology, psychiatry, otorinolaryngology, psychology a odborníky z dalších pomáhajících profesí.

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    • Zsolt Csefalvay
    • Milena Kostalova
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  • Interest Points as a Focus Measure in Multi-Spectral Imaging

    Radioengineering

    A novel multi-spectral focus measure that is based on algorithms for interest point detection, particularly on the FAST (Features from Accelerated Segment Test), Fast Hessian and Harris-Laplace detector, is described in this paper. The proposed measure methods are compared with commonly used focus measure techniques like energy of image gradient, sum-modified Laplacian, Tenenbaum's algorithm or spatial frequency when testing their reliability and performance. The measures have been tested on a…

    A novel multi-spectral focus measure that is based on algorithms for interest point detection, particularly on the FAST (Features from Accelerated Segment Test), Fast Hessian and Harris-Laplace detector, is described in this paper. The proposed measure methods are compared with commonly used focus measure techniques like energy of image gradient, sum-modified Laplacian, Tenenbaum's algorithm or spatial frequency when testing their reliability and performance. The measures have been tested on a newly created database containing 420 images acquired in visible, near-infrared and thermal spectrum (7 objects in each spectrum). Algorithms based on the interest point detectors proved to be good focus measures satisfying all the requirements described in the paper, especially in thermal spectrum. It is shown that these algorithms outperformed all commonly used methods in thermal spectrum and therefore can serve as a new and more accurate focus measure.

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  • Acoustic evaluation of short-term effects of repetitive transcranial magnetic stimulation on motor aspects of speech in Parkinson’s disease

    Journal of Neural Transmission

    Hypokinetic dysarthria in Parkinson’s disease (PD) can be characterized by monotony of pitch and loudness, reduced stress, variable rate, imprecise consonants, and a breathy and harsh voice. Using acoustic analysis, we studied the effects of high-frequency repetitive transcranial magnetic stimulation (rTMS) applied over the primary orofacial sensorimotor area (SM1) and the left dorsolateral prefrontal cortex (DLPFC) on motor aspects of voiced speech in PD. Our pilot results indicate that one…

    Hypokinetic dysarthria in Parkinson’s disease (PD) can be characterized by monotony of pitch and loudness, reduced stress, variable rate, imprecise consonants, and a breathy and harsh voice. Using acoustic analysis, we studied the effects of high-frequency repetitive transcranial magnetic stimulation (rTMS) applied over the primary orofacial sensorimotor area (SM1) and the left dorsolateral prefrontal cortex (DLPFC) on motor aspects of voiced speech in PD. Our pilot results indicate that one session of rTMS applied over the SM1 may lead to measurable improvement in voice quality and intensity and an increase in speech rate and tongue movements. Nevertheless, these changes were not accompanied by changes in a perceptual evaluation of speech performance by a speech therapist. Future placebo-controlled studies in larger patient cohorts should verify if rTMS would be clinically useful for treating hypokinetic dysarthria in PD.

    Ostatní autoři
    • Ilona Eliasova
    • Milena Kostalova
    • Radek Marecek
    • Zdenek Smekal
    • Irena Rektorova
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  • Multi-focus Thermal Image Fusion

    Pattern Recognition Letters

    This paper proposes a novel algorithm for multi-focus thermal image fusion. The algorithm is based on local activity analysis and advanced pre-selection of images into fusion process. The algorithm improves the object temperature measurement error up to 5°C. The proposed algorithm is evaluated by half total error rate, root mean squared error, cross correlation and visual inspection. To the best of our knowledge, this is the first work devoted to multi-focus thermal image fusion. For testing of…

    This paper proposes a novel algorithm for multi-focus thermal image fusion. The algorithm is based on local activity analysis and advanced pre-selection of images into fusion process. The algorithm improves the object temperature measurement error up to 5°C. The proposed algorithm is evaluated by half total error rate, root mean squared error, cross correlation and visual inspection. To the best of our knowledge, this is the first work devoted to multi-focus thermal image fusion. For testing of proposed algorithm we acquire six thermal image set with objects at different focal depth.

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  • A Naturalistic Database of Thermal Emotional Facial Expressions and Effects of Induced Emotions on Memory

    Lecture Notes in Computer Science

    This work defines a procedure for collecting naturally induced emotional facial expressions through the vision of movie excerpts with high emotional contents and reports experimental data ascertaining the effects of emotions on memory word recognition tasks. The induced emotional states include the four basic emotions of sadness, disgust, happiness, and surprise, as well as the neutral emotional state. The resulting database contains both thermal and visible emotional facial expressions…

    This work defines a procedure for collecting naturally induced emotional facial expressions through the vision of movie excerpts with high emotional contents and reports experimental data ascertaining the effects of emotions on memory word recognition tasks. The induced emotional states include the four basic emotions of sadness, disgust, happiness, and surprise, as well as the neutral emotional state. The resulting database contains both thermal and visible emotional facial expressions, portrayed by forty Italian subjects and simultaneously acquired by appropriately synchronizing a thermal and a standard visible camera. Each subject’s recording session lasted 45 minutes, allowing for each mode (thermal or visible) to collect a minimum of 2000 facial expressions from which a minimum of 400 were selected as highly expressive of each emotion category. The database is available to the scientific community and can be obtained contacting one of the authors. For this pilot study, it was found that emotions and/or emotion categories do not affect individual performance on memory word recognition tasks and temperature changes in the face or in some regions of it do not discriminate among emotional states.

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  • Contribution of the Temperature of the Objects to the Problem of Thermal Imaging Focusing

    In Proceedings of 46th annual IEEE International Carnahan Conference on Security Technology

    When focusing an image, depth of field, aperture and distance from the camera to the object, must be taking into account, both, in visible and in infrared spectrum. Our experiments reveal that in addition, the focusing problem in thermal spectrum is also hardly dependent of the temperature of the object itself (and/or the scene).

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  • Biometric Applications Related to Human Beings: There Is Life beyond Security

    Cognitive Computation

    The use of biometrics has been successfully applied to security applications for some time. However, the extension of other potential applications with the use of biometric information is a very recent development. This paper summarizes the field of biometrics and investigates the potential of utilizing biometrics beyond the presently limited field of security applications. There are some synergies that can be established within security-related applications. These can also be relevant in other…

    The use of biometrics has been successfully applied to security applications for some time. However, the extension of other potential applications with the use of biometric information is a very recent development. This paper summarizes the field of biometrics and investigates the potential of utilizing biometrics beyond the presently limited field of security applications. There are some synergies that can be established within security-related applications. These can also be relevant in other fields such as health and ambient intelligence. This paper describes these synergies. Overall, this paper highlights some interesting and exciting research areas as well as possible synergies between different applications using biometric information.

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  • A New Face Database Simultaneously Acquired in Visible, Near-Infrared and Thermal Spectrums

    Cognitive Computation

    In this paper, we present a new database acquired with three different sensors (visible, near infrared and thermal) under different illumination conditions. This database consists of 41 people acquired in four different acquisition sessions, five images per session and three different illumination conditions. The total amount of pictures is 7,380 pictures. Experimental results consist of single sensor experiments as well as the combination of two and three sensors under different illumination…

    In this paper, we present a new database acquired with three different sensors (visible, near infrared and thermal) under different illumination conditions. This database consists of 41 people acquired in four different acquisition sessions, five images per session and three different illumination conditions. The total amount of pictures is 7,380 pictures. Experimental results consist of single sensor experiments as well as the combination of two and three sensors under different illumination conditions (natural, infrared and artificial illumination). We have found that the three studied spectral bands contribute in a nearly equal proportion to a combined system. Experimental results show a significant improvement combining the three spectrums, even when using a simple classifier and feature extractor. In six of the nine studied scenarios, we obtained identification rates higher or equal to 98 %, when using a trained combination rule, and two cases of nine when using a fixed rule.

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  • Interest Points as a Focus Measure

    35th International Conference on Telecommunications and Signal Processing (TSP), 2012

    In this paper, we propose a novel focus measure that is based on algorithms for interest point detection, particularly on the Fast Hessian detector. The proposed measure is compared with the energy of image gradient and sum-modified Laplacian that are commonly used as focus measures to test its reliability and performance. The measures have been tested on a newly created database containing 84 images (12 images for seven objects). Our algorithm proved to be a good focus measure satisfying all…

    In this paper, we propose a novel focus measure that is based on algorithms for interest point detection, particularly on the Fast Hessian detector. The proposed measure is compared with the energy of image gradient and sum-modified Laplacian that are commonly used as focus measures to test its reliability and performance. The measures have been tested on a newly created database containing 84 images (12 images for seven objects). Our algorithm proved to be a good focus measure satisfying all the requirements described in the paper, in some cases it outperformed the other two measures.

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  • Evaluation of Short-term Effects of Repetitive Transcranial Magnetic Stimulation on Paraclinical Aspects of Speech in Parkinson`s Disease

    Movement Disorders

    Based on the results of our previous fMRI studies we explored effects of high-frequency repetitive transcranial magnetic stimulation (rTMS) applied over the primary orofacial sensorimotor area (SM1) or dorsolateral prefrontal cortex (DLPFC) on paraclinical aspects of voiced speech in PD.

    Ostatní autoři
    • Ilona Eliasova
    • Zdenek Smekal
    • Irena Rektorova
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  • A Preliminary Study of Online Drawings and Dementia Diagnose

    22nd Italian Workshop on Neural Nets, WIRN 2012

    In this paper we present preliminary results about on-line drawings acquired by means of a digitizing tablet, and performed by control population (left and right hand) as well as pathological subjects using their dominant hand. Experimental results reveal a clear difference between both groups, specially on the on-air movements. Although the acquired samples are not enough to extract significant conclusions we think that this preliminary results encourage the experimentation in this research…

    In this paper we present preliminary results about on-line drawings acquired by means of a digitizing tablet, and performed by control population (left and right hand) as well as pathological subjects using their dominant hand. Experimental results reveal a clear difference between both groups, specially on the on-air movements. Although the acquired samples are not enough to extract significant conclusions we think that this preliminary results encourage the experimentation in this research line. Thus, the main purpose of this paper is to attract the attention of the scientific community.

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  • Evaluation of Hypokinetic Dysarthria in Parkinson’s Disease and Effects of Repetitive Transcranial Magnetic Stimulation and Dopaminergic Treatment by Means of Voice Signal Analysis and fMRI

    Journal of Neurology

    Based on results of fMRI studies, we explored effects of high-frequency repetitive transcranial magnetic stimulation (rTMS) of the primary orofacial sensorimotor area (SM1) and dorsolateral prefrontal cortex (DLPFC) on paraclinical aspects of voiced speech in PD using voice signal analysis. Effects of dopaminergic treatment on HD have also been assessed using the same voice analysis and fMRI.

    Ostatní autoři
    • Irena Rektorova
    • Ilona Eliasova
    • Martina Mrackova
    • Milena Kostalova
    • Zdenek Smekal
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  • Aplicaciones Biométricas más allá de la Seguridad

    VI Jornadas de Reconocimiento Biométrico de Personas (JRBP12)

    En este artículo se enfatizan las posibilidades del procesamiento de señales biométricas más allá de las aplicaciones de seguridad, con especial énfasis en el ámbito de salud. Se muestra también la interrelación entre la salud y la seguridad. La finalidad es captar la atención de la comunidad biométrica hacia los temas relacionados con la salud, sobre todo en el caso de las enfermedades neurodegenerativas.

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  • An Information Analysis of In-Air and On-Surface Trajectories in Online Handwriting

    Cognitive Computation

    This paper is aimed at analysing, from an information theory perspective, the gestures produced by human beings when handwriting a text. Modern capturing devices allow the gathering of data not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. Our past research with isolated uppercase words clearly suggests that both types of trajectories have a biometric potential to perform writer…

    This paper is aimed at analysing, from an information theory perspective, the gestures produced by human beings when handwriting a text. Modern capturing devices allow the gathering of data not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. Our past research with isolated uppercase words clearly suggests that both types of trajectories have a biometric potential to perform writer recognition and that they can be effectively combined to enhance the recognition accuracy. With samples from the BiosecurID database, we have analysed the entropy of each kind of trajectories, as well as the amount of information they share, and the difference between intra- and inter-writer measures of the mutual information. The results show that when pressure is not taken into account, the amount of information is similar in both types of trajectories. Furthermore, even if they share some information, in-air and on-surface trajectories appear to be notably non-redundant.

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  • Score Fusion in Text-Dependent Speaker Recognition Systems

    Lecture Notes in Computer Science

    According to some significant advantages, the text-dependent speaker recognition is still widely used in biometric systems. These systems are, in comparison with the text-independent, more accurate and resistant against the replay attacks. There are many approaches regarding the text-dependent recognition. This paper introduces a combination of classifiers based on fractional distances, biometric dispersion matcher and dynamic time warping. The first two mentioned classifiers are based on a…

    According to some significant advantages, the text-dependent speaker recognition is still widely used in biometric systems. These systems are, in comparison with the text-independent, more accurate and resistant against the replay attacks. There are many approaches regarding the text-dependent recognition. This paper introduces a combination of classifiers based on fractional distances, biometric dispersion matcher and dynamic time warping. The first two mentioned classifiers are based on a voice imprint. They have low memory requirements while the recognition procedure is fast. This is advantageous especially in low-cost biometric systems supplied by batteries. It is shown that using the trained score fusion, it is possible to reach successful detection rate equal to 98.98% and 92.19% in case of microphone mismatch. During verification, system reached equal error rate 2.55% and 6.77% when assuming the microphone mismatch. System was tested using Catalan database which consists of 48 speakers (three 3s training samples per speaker).

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  • Hypokinetic Dysarthria in Parkinsonian Speech: From Theory to Feature Selection

    1st Signal Processing Workshop, Brno, Czech Republic

  • Thermal Hand Image Segmentation for Biometric Recognition

    Proceedings of 45th annual IEEE International Carnahan Conference on Security Technology

    Image segmentation is a first step for most of the biometric systems. In this paper we present a hand image segmentation algorithm for thermographic images. This work is based on a specially acquired database with a thermographic camera TESTO 882-3, which acquires thermal images of 320x240 pixels as well as visible images of 640x480 pixels. Experimental results reveal that thermal images are harder to segment from the background than visible images. Specially for some users. However, thermal…

    Image segmentation is a first step for most of the biometric systems. In this paper we present a hand image segmentation algorithm for thermographic images. This work is based on a specially acquired database with a thermographic camera TESTO 882-3, which acquires thermal images of 320x240 pixels as well as visible images of 640x480 pixels. Experimental results reveal that thermal images are harder to segment from the background than visible images. Specially for some users. However, thermal images provide some interesting information, such as the vein pattern distribution.

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  • Selection of Optimal Parameters for the Parkinsonian Speech Analysis

    School of Automation & Electrical Engineering, University of Science & Technology Beijing

  • Selection of Optimal Parameters for Automatic Analysis of Speech Disorders in Parkinson's Disease

    34th International Conference on Telecommunications and Signal Processing (TSP), 2011

    Patients with Parkinson's disease (PD) usually suffer from hypokinetic dysarthria (HD), which involves impairment of phonation, articulation, prosody, and speech fluency. Our paper deals with parameters that can be used for the evaluation of motor aspects of speech and relevant methods of data acquisition and analysis. A review of specific parameters of HD and methods used for their evaluation may from the practical point of view contribute both to the diagnostic approaches to HD and to the…

    Patients with Parkinson's disease (PD) usually suffer from hypokinetic dysarthria (HD), which involves impairment of phonation, articulation, prosody, and speech fluency. Our paper deals with parameters that can be used for the evaluation of motor aspects of speech and relevant methods of data acquisition and analysis. A review of specific parameters of HD and methods used for their evaluation may from the practical point of view contribute both to the diagnostic approaches to HD and to the development of suitable measures for assessment of its progression. The paper gives a description of the most frequently used parameters and their optimization to enable the best possible automatic classification of the various stages of Parkinson's disease.

    Ostatní autoři
    • Irena Rektorova
    • Zdenek Smekal
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  • Basic Theory and Algorithms of Digital Image Processing - IR Image Processing

    School of Automation & Electrical Engineering, University of Science & Technology Beijing

  • Digital Acoustic Signal Processing

    Faculty of Electrical Engineering and Communication, Brno University of Technology

    Lectures describing the basics of digital acoustic signal processing.

    Ostatní autoři
    • Ondrej Raso
    • Zdenek Prusa
    • Jaromir Macak
  • On the Focusing of Thermal Images

    Pattern Recognition Letters

    In this paper we present a new thermographic image database, suitable for the analysis of automatic focusing measures. This database contains the images of 10 scenes, each of which is represented once for each of 96 different focus positions. Using this database, we evaluate the usefulness of five focus measures with the goal of determining the optimal focus position. Experimental results reveal that the accurate automatic detection of optimal focus position can be achieved with a low…

    In this paper we present a new thermographic image database, suitable for the analysis of automatic focusing measures. This database contains the images of 10 scenes, each of which is represented once for each of 96 different focus positions. Using this database, we evaluate the usefulness of five focus measures with the goal of determining the optimal focus position. Experimental results reveal that the accurate automatic detection of optimal focus position can be achieved with a low computational burden. We also present an acquisition tool for obtaining thermal images. To the best of our knowledge, this is the first study on the automatic focusing of thermal images.

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  • Gender Recognition Using PCA and DCT of Face Images

    Lecture Notes in Computer Science

    In this paper we propose a gender recognition algorithm of face images. We have used PCA and DCT for dimensionality reduction. The algorithm is based on a genetic algorithm to improve the selection of training set of images for the PCA algorithm. Genetic algorithm helps to select the images, which best represent each gender, from the image database. We have evaluated a nearest neighbor classifier as well as a neural network. Experimental results show a correct identification rate of 85,9%.

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  • Motor Aspects of Speech Imparment in Parkinson‘s Disease and their Assessment

    Cesk Slov Neurol N

    Patients with Parkinson’s disease (PD) often suffer from hypokinetic dysarthria (HD) involving impairment of phonation, articulation, prosody and speech fluency. Our paper focuses on parameters used to evaluate motor aspects of speech and on methods of relevant data collection and analysis. An overview of specific parameters of HD and methods used for its evaluation may facilitate development of a diagnostic system for HD and of suitable mea­sures for the assessment of its progression.

    Ostatní autoři
    • Zdeněk Smékal
    • Milena Košťálová
    • Martina Mračková
    • Světlana Skutilová
    • Irena Rektorová
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  • Fast and Efficient Approaches in Text-dependent Speaker Recognition Systems

    Elektrorevue

    Although text-dependent speaker recognition systems are not so intensively developed as text-independent ones, there are still many applications, where the text dependency is necessary. This is for example a case of biometric systems. With the increasing computational burden and decreasing price of memories it is possible to implement new and sophisticated algorithms that rapidly increase the accuracy of these systems. But there are still some applications, where fast, simple and efficient…

    Although text-dependent speaker recognition systems are not so intensively developed as text-independent ones, there are still many applications, where the text dependency is necessary. This is for example a case of biometric systems. With the increasing computational burden and decreasing price of memories it is possible to implement new and sophisticated algorithms that rapidly increase the accuracy of these systems. But there are still some applications, where fast, simple and efficient approaches are necessary. This work introduces new methods of the text-dependent speaker recognition based on voice imprint and classifiers suitable for the processing of this feature vector. It is shown, that using combination of voice imprint and classifier based on fractional distances, it is possible to reach the successful detection rate equal to 96.94 % and 82.29 % in case of microphone mismatch. Speaking about equal error rate, system reached 4.08 % and 10.94 % considering microphone mismatch. It is also shown that voice imprint can approximately 30 times decrease the memory requirements.

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  • Text-dependent Speaker Recognition in Low-cost Systems

    6th International Conference on Teleinformatics

    Although the text-dependent recognition is not as universal as the text-independent recognition it has still many applications. Moreover the accuracy of the systems based on the text-dependent recognition is still higher than in case of the text-independent systems. This work proposes new techniques in the field of text-dependent speaker recognition so that it is possible to implement these systems in low-cost devices. It introduces a feature vector called voice imprint, which has low memory…

    Although the text-dependent recognition is not as universal as the text-independent recognition it has still many applications. Moreover the accuracy of the systems based on the text-dependent recognition is still higher than in case of the text-independent systems. This work proposes new techniques in the field of text-dependent speaker recognition so that it is possible to implement these systems in low-cost devices. It introduces a feature vector called voice imprint, which has low memory requirements, and a classifier based on fractional distances which is very fast and accurate in comparison with another classifiers. It is shown that using the fractional distances along with the voice imprint, it is possible to reach successful detection rate equal to 96.94 % and 82.29 % in case of microphone mismatch. During verification, system reached equal error rate 3.93 % and 10.43 % when assuming microphone mismatch. System was tested using database which consists of 48 speakers (three 3 s training samples per speaker).

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  • Face Segmentation: a Comparison Between Visible and Thermal Images

    Security Technology (ICCST), 2010 IEEE International Carnahan Conference on

    Face segmentation is a first step for face biometric systems. In this paper we present a face segmentation algorithm for thermographic images. This algorithm is compared with the classic Viola and Jones algorithm used for visible images. Experimental results reveal that, when segmenting a multispectral (visible and thermal) face database, the proposed algorithm is more than 10 times faster, while the accuracy of face segmentation in thermal images is higher than in case of Viola-Jones.

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  • A Criterion for Analysis of Different Sensor Combinations with an Application to Face Biometrics

    Cognitive Computation

    In this paper, we propose a criterion for pairwise combination of information from different sensors in order to decide how a given pair of sensors is useful for different applications. This criterion is related to the principle of maximum information preservation. We present experimental results for the case of face images at different spectral bands, which allow for the in advance evaluation of the usefulness of different sensor combinations as well as the possibility for crossed-sensor…

    In this paper, we propose a criterion for pairwise combination of information from different sensors in order to decide how a given pair of sensors is useful for different applications. This criterion is related to the principle of maximum information preservation. We present experimental results for the case of face images at different spectral bands, which allow for the in advance evaluation of the usefulness of different sensor combinations as well as the possibility for crossed-sensor recognition (matching of images acquired in different spectral bands). The criterion that we propose is a generalization of the Fisher score for the case of mutual information, which is measured as the ratio of the interclass information to the intraclass. The score we propose measures the behavior of a pair of sensors either when they are used in combination or when they are used to discriminate between classes. Based on Information Theory measurements, we conclude that the best spectral band combination always contains the thermal image, while the best combination for crossed-sensor recognition is VIS and NIR.

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  • Face Segmentation in the Framework of MCINN Databases

    The University of Las Palmas de Gran Canaria

    Face segmentation is a first step for face biometric systems. In this paper we present a face segmentation algorithm for thermographic images. This algorithm is compared with the classic Viola and Jones algorithm used for visible images, and experimental results reveal that, when segmenting a multispectral (visible and thermal) face database, the proposed algorithm is more than 10 times faster, while the accuracy of face segmentation in thermal images is higher than in case of Viola-Jones.

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  • Beyond Cognitive Signals

    Cognitive Computation

    Although audio-visual human systems have several well-known limitations, artificial sensors can measure information beyond our limits. What would happen if we were able to overcome our limitations? Would we be able to obtain a better knowledge of our environment? Or the information beyond our limits is redundant? In this paper, we compare infrared, thermal and visible images from an information theory point of view. We have acquired a small database and compared several measurements over these…

    Although audio-visual human systems have several well-known limitations, artificial sensors can measure information beyond our limits. What would happen if we were able to overcome our limitations? Would we be able to obtain a better knowledge of our environment? Or the information beyond our limits is redundant? In this paper, we compare infrared, thermal and visible images from an information theory point of view. We have acquired a small database and compared several measurements over these images. While infrasounds and ultrasounds are not directly applicable, for instance, to speaker recognition due to the impossibility of human beings generating sounds in these frequencies, this is not the case with image signals beyond the visible spectrum for face recognition. We have observed that visible, near-infrared and thermal images contain a small amount of redundancy (less than 1,55 bits).

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  • Hidden Markov Model Toolkit (HTK)

    Elektrorevue

    The hidden Markov model toolkit (HTK) is set of programs, which are intended to use the hidden Markov models for spontaneous speech recognition. A structure of the HTK and some applications are described in the paper.

    Ostatní autoři
    • Zdeněk Smékal
    • Hicham Atassi
    • Vojtěch Stejskal
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Projekty

  • National institute for neurological research

    The aim of the project is to increase the ability of research capacities in the selected priority area of research, development and innovation (hereinafter referred to as "RDI") to respond to current trends and needs in RDI in relation to the incidence of serious diseases and the economic impact of systemic health risks associated with them. The sub-objectives of the project for the selected RDI priority area are: (a) achieving and maintaining a European level of excellence in research…

    The aim of the project is to increase the ability of research capacities in the selected priority area of research, development and innovation (hereinafter referred to as "RDI") to respond to current trends and needs in RDI in relation to the incidence of serious diseases and the economic impact of systemic health risks associated with them. The sub-objectives of the project for the selected RDI priority area are: (a) achieving and maintaining a European level of excellence in research orientation; b) strengthening inter-institutional, interdisciplinary and inter-regional cooperation and the quality of national research through further growth of international collaboration; (c) enhancing the skills, scientific training and support of the younger generation of researchers, including the provision of quality working conditions; (d) strengthening the relevance of research outputs or complementing existing knowledge by taking into account a gender perspective; (e) upgrading and developing research infrastructure and capacities, including the provision of professional information capacities and mechanisms for the protection and sharing of results and scientific data; f) integrating the national scientific authority into the existing RDI system in the country and ensuring its sustainability.

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  • Diagnostics of Lewy body diseases in prodromal stage based on multimodal data analysis

    Lewy body diseases (LBDs) is a term describing a group of neurodegenerative disorders (i.e. dementia with Lewy bodies and Parkinson’s disease) characterized by pathophysiological process of alfa-synuclein accumulation in specific brain regions leading to the formation of Lewy bodies inside neurons and resulting in cell death. LBDs are progressing slowly and are usually diagnosed when the neurodegenerative process has reached severe degree in which most of the targeted neurons have already been…

    Lewy body diseases (LBDs) is a term describing a group of neurodegenerative disorders (i.e. dementia with Lewy bodies and Parkinson’s disease) characterized by pathophysiological process of alfa-synuclein accumulation in specific brain regions leading to the formation of Lewy bodies inside neurons and resulting in cell death. LBDs are progressing slowly and are usually diagnosed when the neurodegenerative process has reached severe degree in which most of the targeted neurons have already been damaged. Identification of LBDs at an early stage is crucial for development of disease-modifying treatment since the neurodegeneration may be possibly stopped or treated at the onset. In the frame of this project we are going to employ a complex multimodal analysis in order to identify prodromal biomarkers of LBDs and describe underlying pathophysiological processes. Consequently, this knowledge will be used to introduce a new machine-learning based decision support system that will help to assess, diagnose and monitor LBDs.

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  • Software for advanced diagnosis of graphomotor disabilities

    The goal of the project is to develop a psychological diagnostic method for evaluation of graphomotor disabilities. Currently, the dysgraphia diagnosis is based on the subjective assessment of experts. The proposed software will provide the objective acquisition and interpretation of parameters linked to graphomotor disabilities, based on children’s drawings and handwriting. This data will be processed by mathematical modeling of behavioral, socio-demographic and clinical data, which will be…

    The goal of the project is to develop a psychological diagnostic method for evaluation of graphomotor disabilities. Currently, the dysgraphia diagnosis is based on the subjective assessment of experts. The proposed software will provide the objective acquisition and interpretation of parameters linked to graphomotor disabilities, based on children’s drawings and handwriting. This data will be processed by mathematical modeling of behavioral, socio-demographic and clinical data, which will be used to produce a visualization that displays the severity of the disability on a scale. The outcome will be objective, accurate, and valid diagnostics of handwriting disabilities. Project outcomes will be the psycho-diagnostic method and its methodology, software, several publications, and a workshop.

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  • niCE-life, Development of an integrated concept for the deployment of innovative technologies and services allowing independent living of frail elderly

    The central European health and care systems are facing great challenges because of an ageing population, higher occurrences of neurodegenerative and chronic diseases that lead to social exclusion of citizens, and the slow integration of new technologies, but also because of the limited interoperability of solutions across borders.

    The niCE-life project will foster social inclusion and care coordination of the elderly with cognitive medium-low deficits, including Alzheimer's and…

    The central European health and care systems are facing great challenges because of an ageing population, higher occurrences of neurodegenerative and chronic diseases that lead to social exclusion of citizens, and the slow integration of new technologies, but also because of the limited interoperability of solutions across borders.

    The niCE-life project will foster social inclusion and care coordination of the elderly with cognitive medium-low deficits, including Alzheimer's and Parkinson's diseases and other chronic diseases. It will develop an innovative health care model by using progressive, key enabling technologies such as sensor technologies, ICT and data analysis techniques.

    This will prevent frailty of the elderly, enhance their quality of care and support independent living, social contacts and assistance after hospital discharges.

    The intelligent monitoring platform, new health and care solutions and the organizational changes to care practice will be designed and tested in pilot actions. This will be complemented by local action plans that take into account national health and social care systems and local conditions. Together with targeted trainings this will contribute to strengthening capacities and competencies of public authorities and health and care providers to efficiently address pressing social challenges and foster an independent living of the elderly.

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  • CoBeN, Novel Network-Based Approaches for Studying Cognitive Dysfunction in Behavioral Neurology

    Behavioral neurology is a scientific discipline that seeks to identify the neurobiological basis of cognitive impairment associated with different types of brain disorders. Recent advances in structural/functional neuroimaging have provided powerful new tools for studying the neural networks that support normal cognition and improve our understanding of the pathophysiological mechanisms that contribute to network disruption in patients with specific neuropsychological deficits. In addition…

    Behavioral neurology is a scientific discipline that seeks to identify the neurobiological basis of cognitive impairment associated with different types of brain disorders. Recent advances in structural/functional neuroimaging have provided powerful new tools for studying the neural networks that support normal cognition and improve our understanding of the pathophysiological mechanisms that contribute to network disruption in patients with specific neuropsychological deficits. In addition, non-invasive brain stimulation (NIBS) techniques offer exciting new opportunities to modulate neural network function and brain plasticity to obtain long-lasting therapeutic benefits. Although these novel neuroscience methods have tremendous potential, no single academic institution has all the expertise and resources needed to conduct the type of multi-disciplinary research effort that is expected to produce the best scientific results. The central aim of our project is to facilitate collaborative research by establishing an international scientific consortium to study universal, language-specific, and disease-specific neural network architectures underlying reading/spelling, motor speech/handwriting control, and visual processing. The proposed studies will introduce novel behavioral paradigms to assess cognition, use state-of-the-art imaging techniques to identify changes in neural network dynamics responsible for cognitive impairment in patients with stroke or neurodegenerative disease, and explore the therapeutic potential of NIBS. The international collaboration envisioned between participating institutions in the Czech Republic, Hungary, and the United States builds on the complementary expertise of researchers, promotes the transfer of knowledge and innovation, provides the necessary infrastructure and organizational framework to develop the careers of the staff members involved, and establishes a new model for training future generations of behavioral neurologists.

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  • Research of advanced developmental dysgraphia diagnosis and rating methods based on quantitative analysis of online handwriting and drawing

    Developmental dysgraphia (DD), being observed among 10–30 % of school-aged children, is a disturbance or difficulty in the production of written language that has to do with the mechanics of writing. Diagnosis and/or rating of DD requires a complex examination including graphomotorical skills and cognitive abilities analysis. Until now, these analyses are performed mainly subjectively. In the frame of this multidisciplinary project, we are going to propose an objective computerized methodology…

    Developmental dysgraphia (DD), being observed among 10–30 % of school-aged children, is a disturbance or difficulty in the production of written language that has to do with the mechanics of writing. Diagnosis and/or rating of DD requires a complex examination including graphomotorical skills and cognitive abilities analysis. Until now, these analyses are performed mainly subjectively. In the frame of this multidisciplinary project, we are going to propose an objective computerized methodology of memory and visuospatial abilities analysis, to research advanced digital graphomotorical skills parameterization, and to propose a new complex DD rating scale (DD-RS) based on the quantitative handwriting/drawing analysis. Finally, we are going to employ the mathematical modelling methods in order to introduce a system, that will rate DD based on the newly proposed scale automatically.

  • System for centralized supervision of complex and large objects of the critical state infrastructure

    Project deals with scalable sensor system for centralized supervision of complex and large objects of critical state infrastructure. Distributed form of sensor system uses advanced real time methods of event detection, localization, identification and event evolution tracking in protected area. The system continuously presents site layout and evaluates level of threat of critical infrastructure. System long range, early threat detection and identification save costs for infrastructure…

    Project deals with scalable sensor system for centralized supervision of complex and large objects of critical state infrastructure. Distributed form of sensor system uses advanced real time methods of event detection, localization, identification and event evolution tracking in protected area. The system continuously presents site layout and evaluates level of threat of critical infrastructure. System long range, early threat detection and identification save costs for infrastructure protection.

  • NV16-30805A, Effects of non-invasive brain stimulation on hypokinetic dysarthria, micrographia, and brain plasticity in patients with Parkinson's disease

    Hypokinetic dysarthria (HD) is common in Parkinson’s disease (PD) patients and it responds only partially to pharmacotherapy and surgery of PD. We will explore short-term effects of repetitive transcranial magnetic stimulation (rTMS) applied over pre-defined brain regions using both high and low frequency TMS protocols on HD and micrographia in PD, and on related brain plasticity changes. To achieve our goal we will combine acoustic analysis and functional MRI with rTMS. The objective is to…

    Hypokinetic dysarthria (HD) is common in Parkinson’s disease (PD) patients and it responds only partially to pharmacotherapy and surgery of PD. We will explore short-term effects of repetitive transcranial magnetic stimulation (rTMS) applied over pre-defined brain regions using both high and low frequency TMS protocols on HD and micrographia in PD, and on related brain plasticity changes. To achieve our goal we will combine acoustic analysis and functional MRI with rTMS. The objective is to identify an optimal rTMS protocol and stimulation site to improve HD and micrographia in PD patients on dopaminergic medication. Based on these results a repeated-sessions rTMS study will be designed to investigate long-term effects of rTMS on HD in PD and related changes in brain structure and function. The project results will allow for the identification of potential therapeutic effects of rTMS as a tool that could contribute to the speech therapy of HD in PD patients. The results will also enhance our understanding of brain mechanisms underlying specific long-term effects of rTMS.

    Ostatní tvůrci
  • LO1401, Interdisciplinary Research of Wireless Technologies

    Obtaining new fundamental knowledge, which is necessary for the development of advanced communication systems, and its successive application.

  • TA04031666, Intelligent telematics information system of public transportation II

    The aim of this project is to build on the previous project TACR, continue in newly given. The main goal is to make the public traffic transport more attractive. The project is focused on solving following goals: - set up a passenger transport system using tickets portable and still valid between connections carried on even by different operators. Furthermore, into this system the aim is also to incorporate the service of detours, any newly in Czech Rep. the service of connection on demand (on…

    The aim of this project is to build on the previous project TACR, continue in newly given. The main goal is to make the public traffic transport more attractive. The project is focused on solving following goals: - set up a passenger transport system using tickets portable and still valid between connections carried on even by different operators. Furthermore, into this system the aim is also to incorporate the service of detours, any newly in Czech Rep. the service of connection on demand (on call). - increase the awareness of passenger, mainly in the coaches, in actual information about connection lines with the possibility of so-called dynamic timetables, where based on the upcoming stop information about the actual departure time of passing lines are given. - in case of intelligent stops, we want to further merge the features of property protection and passengers’ health protection in unattended waiting rooms. The development of new control unit for the system of the service of connection (stop) on call should also be a part of this goal. - build up fast connection, i.e. shortening check-in at stops by using new methods of check-in. Solution will be achieved by using credit cards with “smart” vehicle control unit, ticket purchase via Internet, etc. shortening of waiting on the crossroads in the cities using public transport preferences. - using vehicle as information source for passengers. Displaying the news and spots on LCD screens. - improving dispatching ways of management with new features, i.e. dynamic system of prediction calculation of vehicles at the stops. Using the results for planning traffic and graficon adjustement. Introducing new ways of timetable creation with traffic monitoring and animation on the map. - a new solution for communication structure in vehicles, development of vehicle control unit, counting passenger unit, communication unit, panel behavior etc. Unification of communication between vehicle and dispatching is also essential.

    Ostatní tvůrci
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  • COST IC 1206, De-Identification for Privacy Protection in Multimedia Content

    De-identification in multimedia content can be defined as the process of concealing the identities of individuals captured in a given set of data (images, video, audio, text), for the purpose of protecting their privacy. This will provide an effective means for supporting the EU's Data Protection Directive (95/46/EC), which is concerned with the introduction of appropriate measures for the protection of personal data.

    The fact that a person can be identified by such features as face…

    De-identification in multimedia content can be defined as the process of concealing the identities of individuals captured in a given set of data (images, video, audio, text), for the purpose of protecting their privacy. This will provide an effective means for supporting the EU's Data Protection Directive (95/46/EC), which is concerned with the introduction of appropriate measures for the protection of personal data.

    The fact that a person can be identified by such features as face, voice, silhouette and gait, indicates the de-identification process as an interdisciplinary challenge, involving such scientific areas as image processing, speech analysis, video tracking and biometrics.

    This Action aims to facilitate coordinated interdisciplinary efforts (related to scientific, legal, ethical and societal aspects) in the introduction of person de-identification and reversible de-identification in multimedia content by networking relevant European experts and organisations.

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  • NT13499, Speech, its Impairment and Cognitive Performance in Parkinson's Disease

    Hypokinetic dysarthria (HD) belongs to the most common early symptoms of PD, which are difficult to treat by antiparkinsonian medication and/or surgical treatment. Impaired ability of communication significantly reduces the quality of life of PD subjects. Although some other axial symptoms of PD (e.g. postural instability/gait difficulty) are predictors of the development of dementia in PD, the relationship between HD and cognitive impairment is not clear. The aims of the project are firstly to…

    Hypokinetic dysarthria (HD) belongs to the most common early symptoms of PD, which are difficult to treat by antiparkinsonian medication and/or surgical treatment. Impaired ability of communication significantly reduces the quality of life of PD subjects. Although some other axial symptoms of PD (e.g. postural instability/gait difficulty) are predictors of the development of dementia in PD, the relationship between HD and cognitive impairment is not clear. The aims of the project are firstly to identify the specific disorders of speech which are characteristic of PD depending on various demographic and clinical variables and secondly to identify the relationship between specific parameters of HD and cognitive impairment. Partial aims are to explore effects of PD treatment, its pathophysiological mechanisms, and the effect of rTMS on HD. The results will make the speech therapy in PD patients more efficient and may help to find suitable biomarkers for cognitive impairment and dementia in PD.

    Ostatní tvůrci
    • Irena Rektorova
    • Josef Bednarik
    • Ilona Eliasova
    • Milena Kostalova
    • Michal Mikl
    • Martina Mrackova
    • Zdenek Smekal
    • Petr Sysel
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  • FR-TI4/696, Localization and classification of vibrations by scattered fibre optic sensor along long distances

    The scope of the project is the design of methods and development of monitoring system for the remote check on the large piping systems for the media transport (gas, oil, water, etc.) with the scattered sensor based on optical fibres with the capability of detection, classification and localization of the source of vibrations, which could represent for example pipeline breaching or the movement of intruders in monitored area, say in the range of about 100 km with classification regularity…

    The scope of the project is the design of methods and development of monitoring system for the remote check on the large piping systems for the media transport (gas, oil, water, etc.) with the scattered sensor based on optical fibres with the capability of detection, classification and localization of the source of vibrations, which could represent for example pipeline breaching or the movement of intruders in monitored area, say in the range of about 100 km with classification regularity greater than 80% and location accuracy of tens of meters. The system will include both sensory part and supervisory part, both interconnected by terrestrial or satellite data networks. An environment protection from possible oil contamination and minimization of danger of leaking oil or of gas combustions are the other benefits of the project.

    Ostatní tvůrci
    • Vít Novotný
    • Radko Krkoš
    • Petr Sysel
    • Petr Münster
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  • GAP102/12/1104, Study of Metabolism and Localization of High Grade Glioma using MR Imaging Techniques

    Study of metabolism and localization of high grade glioma using MR imaging techniques.

    Ostatní tvůrci
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  • FEKT-S-11-17, Research of Sophisticated Methods for Digital Audio and Image Signal Processing

    The project is a combination of interdisciplinary research activities in basic and applied research and experimental development in the digital processing of 2D and 3D video and audio signals. Research conducted under the project will cover the whole chain of processing video and audio data from the acquisition through the analysis and processing to implement the proposed algorithms for real-time verification and subjective and objective evaluation.

    Ostatní tvůrci
  • MV VG20102014033, Improvement of Risk Area Security Using Combined Methods for Biometrical Identification of Subjects

    The aim of the project is an integration of the combined biometrical methods into existed camera system structure for public and private risk area security. Improved systems with the help of the implemented methods for automatic subject identification from face, voice, body shape and movement, and other biometrical features will allow an easier detection of potential menaces. The methods for the emotional analysis of speech and video signal lead to seek of preventative aggressive subjects.

    Ostatní tvůrci
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  • OPVK CZ.1.07/2.3.00/20.0094, Support for Incorporating R&D Teams in International Cooperation in the Area of Image and Audio Signal Processing

    This project is preparation of academic workers and students cooperation in the area of processing of signals at international level. It is mostly about cooperation among EU countries, namely among The Czech Republic, Germany, Austria, Great Britain, Italy, Denmark and Spain. During solution of this project there will enlarge cooperation on excellent international projects among particular parties in the area of science and reseach, mainly FP7, and there will be connected new contacts for…

    This project is preparation of academic workers and students cooperation in the area of processing of signals at international level. It is mostly about cooperation among EU countries, namely among The Czech Republic, Germany, Austria, Great Britain, Italy, Denmark and Spain. During solution of this project there will enlarge cooperation on excellent international projects among particular parties in the area of science and reseach, mainly FP7, and there will be connected new contacts for future cooperation enlargement.

    Ostatní tvůrci
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  • MSM ED2.1.00/03.0072, Centre of Sensor, Information and Communication Systems

    Research of base-band layer of communication systems: (sub)millimeter-wave propagation, radiation, amplification, filtering and mixing; Research of system layer of communication systems: mobile systems, optical systems, satellite systems, and digital TV systems; Research of convergence of information and communication technologies; Research of acquisition, processing and representation of communication signals to users (acoustic signals, video signals, text information and their combination in…

    Research of base-band layer of communication systems: (sub)millimeter-wave propagation, radiation, amplification, filtering and mixing; Research of system layer of communication systems: mobile systems, optical systems, satellite systems, and digital TV systems; Research of convergence of information and communication technologies; Research of acquisition, processing and representation of communication signals to users (acoustic signals, video signals, text information and their combination in multimedia); Research of sensing and detecting chemical and biological substances, and physical quantities to be transmitted by communication channels.

    Ostatní tvůrci
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  • KONTAKT ME10123, The Research of Algorithms for Pro- cessing of Digital Images and Image Sequences

    Designing and testing of novel methods for improvement and segmentation of biomedical images being used for diagnostic purposes with application of genetic algorithms. Starting of cooperation with The University of Science and Technology Beijing and acquisition of contacts for cooperation with research subjects in The People's Republic of China.

    Ostatní tvůrci
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  • COST OC08057, Analysis and Enhancement of Speech and Image Signals form Noise for Cross-Modal Analysis of Verbal and Non-verbal Communication

    Within the frame of the project, new algorithms for verbal and nonverbal communication analysis were proposed: speech signal enhancement, speech pauses detection, face and facial parts detection and emotional analysis from speech and video signal.

    Ostatní tvůrci
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Ceny a ocenění

  • Best Paper Award (paper: Comparing Parkinson's Disease Dysarthria and Aging Speech using Articulation Kinematics)

    12th International Conference on Bio-inspired Systems and Signal Processing

  • Joseph Fourier's Award for the scientific work in the field of non-invasive neurodegenerative disorders analysis

    Institut français de Prague

  • Brno University of Technology dean's prize for the master thesis "Identification of persons via voice imprint"

    Dean of Brno University of Technology

  • Brno University of Technology rector's prize for the master thesis "Identification of persons via voice imprint"

    Rector of Brno University of Technology

  • Master's degree with honours

    Dean of Brno University of Technology

  • Bachelor's degree with honours

    Dean of Brno University of Technology

Jazyky

  • English

    Znalost umožňující profesionální práci

  • Czech

    Znalost na úrovni rodilého nebo dvojjazyčného mluvčího

  • Slovak

    Plně profesionální znalost

  • German

    Elementární znalost

Organizace

  • Digital Medicine Society (DiMe)

    Member

    – do současnosti
  • Brain Diseases Analysis Laboratory (BDALab)

    Head

    – do současnosti
  • Signal Processing Laboratory (SPLab)

    Head of Human-machine Interaction Group

    – do současnosti

    Speech and image signal processing

  • International Speech Communication Association (ISCA)

    Member

    Speech signal processing

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